Individual
FIL BETH GATMAITAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
202 CULLENS ST NW, YELM, WA 98597-9417
(360) 400-4800
(360) 400-4821
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024180624
VA
363LF0000X
Family Nurse Practitioner
03045
RI
363LF0000X
Family Nurse Practitioner
156569
AK
363LF0000X
Family Nurse Practitioner
2382
HI
363LF0000X
Family Nurse Practitioner
Primary
61422614
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251149
—
WA
Enumeration date
12/18/2017
Last updated
11/20/2023
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