Individual
LINDA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-CNP
Contact information
Practice address
700 S STANFIELD RD, STE. A, TROY, OH 45373-2372
(937) 339-5355
(937) 339-3056
Mailing address
700 S STANFIELD RD, STE. A, TROY, OH 45373-2372
(937) 339-5355
(937) 339-3056
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN143805
OH
363LA2200X
Adult Health Nurse Practitioner
RN-143805
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.01665
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2366792
—
OH
Enumeration date
10/26/2005
Last updated
02/01/2021
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