Individual
CASEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11264 OHIO RIVER RD, WEST COLUMBIA, WV 25287-9788
(304) 674-2440
Mailing address
PO BOX 7310, CHARLESTON, WV 25356-0310
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
117948
WV
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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