Individual
MS. JOAN A. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LMNT
Contact information
Practice address
809 S. 13TH STREET, NORFOLK, NE 68701-3261
(402) 379-9600
Mailing address
310 W PRAIRIE AVE, NORFOLK, NE 68701-6310
(402) 841-9665
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
368
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47079687563
—
NE
Enumeration date
11/21/2006
Last updated
04/13/2012
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