Individual
MELISSA KATHLEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4203
(918) 825-1405
(918) 825-1406
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4203
(918) 825-1405
(918) 825-1406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0111012
OK
Other
Enumeration date
03/31/2014
Last updated
07/29/2019
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