Individual
DEBORAH REQUA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3100 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-2285
(928) 777-7820
Mailing address
974 HOPE LN, CHINO VALLEY, AZ 86323-6753
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
265071
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP30007061
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265071
AZ BON
AZ
01
—
AP30007061
ARNP LICENSE
WA
01
—
MD1314309
CONTROLLED SUBST. CERT.
WA
Enumeration date
11/04/2005
Last updated
07/06/2026
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