Individual
SANDRA G DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4933
(401) 444-5083
Mailing address
75 NEWMAN AVENUE, SUITE 100, RUMFORD, RI 02916-1945
(401) 453-0666
(401) 435-7019
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024166061
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA36737
RI
Other
Enumeration date
04/17/2006
Last updated
07/23/2012
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