Individual
AMANDA DOWNS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1383 W HUNTER ST, LOGAN, OH 43138-1013
(740) 385-0202
(740) 380-2734
Mailing address
PO BOX 228, LOGAN, OH 43138-8540
(740) 385-0202
(740) 385-0505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.17242-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137438
—
OH
Enumeration date
05/11/2015
Last updated
11/19/2020
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