Individual
ADRIAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5401 S TACOMA WAY STE 407, TACOMA, WA 98409-4312
(888) 948-6026
Mailing address
5401 S TACOMA WAY STE 407, TACOMA, WA 98409-4312
(888) 948-6026
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95147506
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61259015
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2220120
—
WA
Enumeration date
01/09/2020
Last updated
01/25/2023
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