Individual
SUSAN LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4300 B ST STE 200, ANCHORAGE, AK 99503-5933
(907) 375-3355
(907) 375-3351
Mailing address
614 FAIRINGTON DR, SUMMERVILLE, SC 29485-8675
(907) 602-0403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
140643
AK
363LF0000X
Family Nurse Practitioner
20715
SC
Other
Enumeration date
01/07/2017
Last updated
11/06/2019
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