Individual
MRS. HEATHER R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7730 STALEY RD, NEW CARLISLE, OH 45344-9751
(937) 845-3278
Mailing address
7730 STALEY RD, NEW CARLISLE, OH 45344-9751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.315460
OH
163WG0000X
General Practice Registered Nurse
RN.315460
OH
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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