Individual
AVIS ROSE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CPNP-PC
Contact information
Practice address
2120 N CENTRAL AVE, PHOENIX, AZ 85004-1455
(602) 933-6100
(602) 983-3242
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
279395
AZ
363LP2300X
Primary Care Nurse Practitioner
279395
AZ
Other
Enumeration date
08/31/2022
Last updated
01/06/2026
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