Individual
CONNIE LAVON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP-BC
Contact information
Practice address
3130 SQUALICUM PKWY STE 100, BELLINGHAM, WA 98225-1940
(360) 756-0382
Mailing address
PO BOX 2093, SUMAS, WA 98295-2093
(604) 991-4563
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0077001
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP30003227
WA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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