Individual
CASI DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8476 SE REINIG PL, SNOQUALMIE, WA 98065
(727) 244-8144
Mailing address
PO BOX 1458, SNOQUALMIE, WA 98065-1458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60218473
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040087
WASHINGTON STATE PROVIDER ONE (MMIS)
WA
Enumeration date
02/13/2015
Last updated
02/13/2015
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