Individual
DEENA DURENE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R034438
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRN CR 000905
SD
Other
Enumeration date
02/09/2016
Last updated
04/19/2016
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