Individual
SHAY LINN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
345 W MOUNT ELDEN LOOKOUT RD, FLAGSTAFF, AZ 86001-3801
(928) 606-3776
Mailing address
345 W MOUNT ELDEN LOOKOUT RD, FLAGSTAFF, AZ 86001-3801
(928) 606-3776
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP031649
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
242280
AZ
363LA2200X
Adult Health Nurse Practitioner
242280
AZ
363LG0600X
Gerontology Nurse Practitioner
242280
AZ
Other
Enumeration date
06/18/2020
Last updated
12/23/2024
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