Individual
NATHANIEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
125 N MAIN ST, SUITE 500, PMB 262, BLACKSBURG, VA 24060-3950
(540) 392-2579
Mailing address
125 N MAIN ST, SUITE 500, PMB 262, BLACKSBURG, VA 24060-3950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001201224
VA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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