Individual
MRS. MARY RITA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
326 TAYLOR DR, DANVILLE, VA 24541-4023
(434) 766-9844
(434) 791-5342
Mailing address
326 TAYLOR DR, DANVILLE, VA 24541-4023
(434) 766-9844
(434) 791-5342
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
0001181955
MD
363LF0000X
Family Nurse Practitioner
Primary
0024167128
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770653537
—
VA
Enumeration date
07/13/2011
Last updated
07/13/2011
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