Individual
NANCY DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, PT
Contact information
Practice address
5708 FINSBURY CT, RALEIGH, NC 27609-3955
(919) 215-0204
(919) 322-2139
Mailing address
5708 FINSBURY CT, RALEIGH, NC 27609-3955
(919) 215-0204
(919) 322-2139
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
164
NC
225100000X
Physical Therapist
000321
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11914671
CAQH
NC
01
—
20WLE
BCBS
NC
05
—
20WLE
—
NC
01
—
562132986
CHAMPUS
NC
01
—
650022723
RAILROAD
NC
Enumeration date
03/22/2006
Last updated
01/03/2024
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