Individual
DAVRIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6900 N DURANGO DR, LAS VEGAS, NV 89149-4409
(702) 835-9700
Mailing address
630 WILLARD AVE, POCATELLO, ID 83201-3743
(702) 469-6284
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN90241
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
837030
NV
Other
Enumeration date
10/21/2020
Last updated
12/23/2020
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