Individual
MS. SHANEDRA RACHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
485 RAINIER AVE S STE B, RENTON, WA 98057-2428
(281) 793-0437
Mailing address
2923 ASHLYN ARBOR DR, FRESNO, TX 77545-2152
(281) 793-0437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
792827
TX
363LF0000X
Family Nurse Practitioner
AP139333
TX
363LF0000X
Family Nurse Practitioner
Primary
AP61139752
WA
Other
Enumeration date
01/27/2012
Last updated
02/16/2022
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