Individual
MARLENE MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R20481
AR
363LP0200X
Pediatric Nurse Practitioner
Primary
A03153 APN
AR
Other
Enumeration date
09/29/2008
Last updated
12/12/2013
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