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Individual

DANIEL DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
610 E EMMA AVE STE 100, SPRINGDALE, AR 72764-4634
(479) 751-7417
Mailing address
610 E EMMA AVE STE 100, SPRINGDALE, AR 72764-4634
(479) 751-7417

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
124266
AR
163W00000X
Registered Nurse
2012033419
MO
363LF0000X
Family Nurse Practitioner
Primary
124266
AR
363LF0000X
Family Nurse Practitioner
2021043578
MO

Other

Enumeration date
12/27/2021
Last updated
11/01/2022
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