Individual
MS. CANDICE R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C, APRN, BC
Contact information
Practice address
2500 METROHEALTH DR, ROOM A-109, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
150 DOVER RD, PITTSBORO, NC 27312
(440) 241-8012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-302572
OH
363LF0000X
Family Nurse Practitioner
Primary
NP-08864
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2666020
—
OH
Enumeration date
06/29/2006
Last updated
07/22/2008
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