Individual
TARYRSHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
620 N RIVER RD STE 106, NAPERVILLE, IL 60563-8951
(630) 364-2484
(630) 536-8511
Mailing address
620 N RIVER RD STE 106, NAPERVILLE, IL 60563-8951
(630) 364-2484
(630) 536-8511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.018789
IL
363L00000X
Nurse Practitioner
209.023614
IL
Other
Enumeration date
01/24/2019
Last updated
12/04/2021
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