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NPI Code Detail

MEDICARE: LATOYA DAVIS C.R.N.P.

MEDICARE: LATOYA DAVIS C.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1-092083AL

General Provider Information

NPI Number : 1184932626
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATOYA DAVIS C.R.N.P.
Provider Business Mailing Address
First Line : 201 MONROE ST
Second Line : SUITE 1386
City : MONTGOMERY
State : AL
Zip : 36104-3735
Country : US
Telephone Number : 334-206-7959
Fax Number : 334-206-3998
Provider Business Practice Location Address
First Line : 2350 HARGROVE RD E
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35405-2612
Country : US
Telephone Number : 205-562-7010
Fax Number : 205-562-6902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2010
Last Update Date : 09/17/2010

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