Individual
ASHLEY NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
707 S GRADY WAY STE 600, RENTON, WA 98057-3227
(206) 823-1004
(206) 309-3319
Mailing address
3454 S FARM ROAD 61, REPUBLIC, MO 65738-2723
(417) 371-2173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61082459
WA
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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