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Individual

SHAYLA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CRNA

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3549 SUNNYSIDE AVE # 1, PHILADELPHIA, PA 19129-1794
(610) 334-3198

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN648705
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
136816
PA

Other

Enumeration date
11/17/2021
Last updated
03/17/2022
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