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NPI Code Detail

MEDICARE: LATASHA S DAVIS APRN

MEDICARE: LATASHA S DAVIS APRN
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
1363LP2300XPrimary Care Nurse Practitioner829048NV
2363L00000XNurse Practitioner829048NV

General Provider Information

NPI Number : 1306388251
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATASHA S DAVIS APRN
Provider Business Mailing Address
First Line : 2870 S MARYLAND PKWY STE 210
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1548
Country : US
Telephone Number : 702-507-0983
Fax Number : 702-839-1301
Provider Business Practice Location Address
First Line : 2870 S MARYLAND PKWY STE 210
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1548
Country : US
Telephone Number : 702-758-4219
Fax Number : 702-760-0227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2016
Last Update Date : 12/12/2025

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Directions to “ LATASHA S DAVIS APRN” Practice Location

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