Individual
DONNA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
104 HILLCREST DR, ROARING SPRING, PA 16673-1210
(814) 224-5455
Mailing address
1701 12TH AVENUE, BLDG A, ALTOONA, PA 16601
(814) 944-5062
(814) 944-5557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017642
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP017642
PA BON
PA
Enumeration date
09/13/2017
Last updated
10/05/2018
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