Individual
TONYA DAVIS
Active
Individual
TONYA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
AP133496
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP133496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236258758
—
AR
05
—
420075835
—
MO
01
—
5E134
BCBS ARKANSAS
AR
01
—
P02334973
RAILROAD
AR
Enumeration date
03/05/2017
Last updated
06/18/2021
Update your record
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