Individual
DANA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
12501 S 25TH ST, BELLEVUE, NE 68123-5526
(402) 293-4713
Mailing address
12105 S 204TH AVE, GRETNA, NE 68028-4080
(512) 923-5539
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
796353
TX
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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