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Individual

HEATHER N DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
10350 E DREXEL RD UNIT 110, TUCSON, AZ 85747-9409
(520) 324-1727
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226956
AZ
363LF0000X
Family Nurse Practitioner
RNP226956
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
571129
AZ
Enumeration date
07/08/2019
Last updated
09/13/2021
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