Individual
MRS. NATALIE GRACE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
441 N KIRKWOOD RD, SAINT LOUIS, MO 63122-3911
(314) 687-2716
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011036234
MO
363LF0000X
Family Nurse Practitioner
2011036234
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952688640
—
WI
Enumeration date
11/08/2011
Last updated
06/10/2021
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