Individual
SHAIYAN KERRY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 751-8260
(701) 751-2274
Mailing address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 751-8260
(701) 751-2274
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L16688
ND
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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