Individual
RENITA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 227-9000
Mailing address
1068 CRESTHAVEN RD STE 150, MEMPHIS, TN 38119-3859
(901) 682-6828
(901) 682-9316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
137589
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
23068
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137589
REGISTERED NURSING
TN
Enumeration date
05/31/2017
Last updated
09/20/2022
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