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Individual

JOYCE B DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 213-6100
(928) 774-4808
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 233-5110
(928) 774-6687

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
RN075897
AZ
363LW0102X
Women's Health Nurse Practitioner
Primary
AP0009
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
749781
AZ
01
RN075897
STATE LICENSE
AZ
Enumeration date
11/08/2005
Last updated
10/21/2013
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