Individual
MS. GLORIA LOUISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
639 25TH ST SW, ROCHESTER, MN 55902-2212
(507) 251-3800
Mailing address
639 25TH ST SW, ROCHESTER, MN 55902-2212
(507) 251-3800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
32666
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32666
NATIONAL CERTIFICATION
—
Enumeration date
01/23/2007
Last updated
07/08/2007
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