Individual
SHANNA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
2000 S SUMMIT AVE, SIOUX FALLS, SD 57105-2727
(605) 336-0503
(605) 271-8492
Mailing address
2000 S SUMMIT AVE, SIOUX FALLS, SD 57105-2727
(605) 336-0503
(605) 271-8492
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R048451
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R048451
PSYCHIATRY
SD
Enumeration date
06/01/2018
Last updated
06/01/2018
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