Individual
AMANDA ELAINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2455 JEFFERSON BLVD, WEST SACRAMENTO, CA 95691-5313
(916) 617-2377
Mailing address
2455 JEFFERSON BLVD, WEST SACRAMENTO, CA 95691-5313
(916) 617-2377
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
797561
CA
363LF0000X
Family Nurse Practitioner
Primary
23245
CA
Other
Enumeration date
07/09/2013
Last updated
01/11/2022
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