Individual
PATRICIA A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3333 HARRISON AVE NW, OLYMPIA, WA 98502-5049
(360) 704-2362
(360) 357-8823
Mailing address
4820 D MILLUHR DR NE, OLYMPIA, WA 98516-2310
(360) 413-0515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006263
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8110DA
REGENCE
WA
05
—
9635368
—
WA
01
—
A007
TRICARE
WA
Enumeration date
04/08/2006
Last updated
03/18/2008
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