Individual
VANILLA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
848 ELK LN, BONNER SPRINGS, KS 66012-9608
(816) 256-6705
Mailing address
848 ELK LN, BONNER SPRINGS, KS 66012-9608
(816) 256-6705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
148380
KS
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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