MEDICARE: MRS. RACHEL HUGHES DAVIDSON DNP, FNP-BC, CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	3007342	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255605606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHEL HUGHES DAVIDSON DNP, FNP-BC, CRNA

Provider Business Mailing Address
First Line	:	3104 BLUE LAKE DR
Second Line	:	SUITE 110
City	:	VESTAVIA
State	:	AL
Zip	:	35243-2345
Country	:	US
Telephone Number	:	205-977-1949
Fax Number	:	205-977-1933

Provider Business Practice Location Address
First Line	:	3104 BLUE LAKE DR
Second Line	:	SUITE 110
City	:	VESTAVIA
State	:	AL
Zip	:	35243-2345
Country	:	US
Telephone Number	:	205-977-1949
Fax Number	:	205-977-1933

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2012
Last Update Date	:	03/06/2017

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