Individual
ELIZABETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 S 37TH ST APT 202, OMAHA, NE 68105-1244
(402) 213-3489
Mailing address
535 S 37TH ST, OMAHA, NE 68105-1230
(402) 213-3489
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73628
NE
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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