Individual
VALERIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
510 PETER PAN RD, INDEPENDENCE, KS 67301-7301
(620) 331-4099
Mailing address
818 N EMPORIA ST STE 403, WICHITA, KS 67214-3728
(316) 613-4263
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
53-78553-022
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NONE YET
—
Enumeration date
02/09/2019
Last updated
02/09/2019
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