Individual
ELLA DAVILA-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 E PLAZA DR STE 3, MOORESVILLE, NC 28115-8000
(980) 444-2630
(980) 444-2631
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-4358
(833) 963-1364
(605) 942-7505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007318
NC
Other
Enumeration date
11/11/2014
Last updated
02/23/2021
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