Individual
VIRGINIA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN124479
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
267918
AZ
Other
Enumeration date
03/12/2019
Last updated
01/31/2022
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