Individual
LISA A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68248
WV
Other
Enumeration date
04/10/2012
Last updated
04/26/2024
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