Organization
RUTH A DAVIS APN RN FIRST ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH A DAVIS APN (CEO)
(732) 278-6038
Entity
Organization
Contact information
Practice address
297 OLD TOMS RIVER RD, BRICK, NJ 08723-5935
(732) 278-6038
Mailing address
297 OLD TOMS RIVER RD, BRICK, NJ 08723-5935
(732) 278-6038
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
26NO09589000
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00073800
NJ
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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