Individual
SHELLY R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MN BSN-RN PHN CCHP
Contact information
Practice address
810 S MAIN STREET, YREKA, CA 96097
(530) 841-2140
Mailing address
810 S MAIN STREET, YREKA, CA 96097
(530) 841-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
850299
CA
163WC1500X
Community Health Registered Nurse
Primary
546189
CA
Other
Enumeration date
11/07/2024
Last updated
11/18/2024
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