Individual
LISA ANN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1800 NW MYHRE RD, SILVERDALE, WA 98383-7663
(360) 337-8800
Mailing address
920 VENTURA DR, TACOMA, WA 98465-1111
(253) 312-7488
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95952
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
60534425
WA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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