Individual
DEBORAH REQUA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2010
(509) 324-1420
(509) 324-3622
Mailing address
509 S CAVALIER CT, GREENACRES, WA 99016-9605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007061
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30007061
ARNP LICENSE
WA
01
—
MD1314309
CONTROLLED SUBST. CERT.
WA
Enumeration date
11/04/2005
Last updated
04/30/2019
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