Individual
NATASHA RENE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1014 ROBERTA DR, MURPHYSBORO, IL 62966-2915
(618) 201-3917
Mailing address
1014 ROBERTA DR, MURPHYSBORO, IL 62966-2915
(618) 201-3917
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041312202
IL
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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