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NPI Code Detail

MEDICARE: REBECCA F DAVIS APRN, CNM

MEDICARE: REBECCA F DAVIS APRN, CNM
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
1367A00000XAdvanced Practice MidwifeAP03087LA

Other Identifiers

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

General Provider Information

NPI Number : 1477585230
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA F DAVIS APRN, CNM
Provider Business Mailing Address
First Line : PO BOX 1158
Second Line :
City : ABBEVILLE
State : LA
Zip : 70511-1158
Country : US
Telephone Number : 337-892-0630
Fax Number : 337-893-0403
Provider Business Practice Location Address
First Line : 203 ALLENDALE DR
Second Line :
City : PORT ALLEN
State : LA
Zip : 70767-3219
Country : US
Telephone Number : 225-389-1311
Fax Number : 225-389-1330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 03/04/2019

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