Individual
STACIAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2975
(202) 877-2604
(202) 877-0343
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-2975
(202) 877-2604
(202) 877-0343
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1022197
DC
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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