Individual
FLESHIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTIONER
Contact information
Practice address
13241 W DOMINO DR, PEORIA, AZ 85383-1958
(478) 320-6285
Mailing address
13241 W DOMINO DR, PEORIA, AZ 85383-1958
(478) 320-6285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN172374
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
297171
AZ
Other
Enumeration date
08/11/2020
Last updated
10/10/2023
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