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NPI Code Detail

MEDICARE: GENEVIEVE SHARON DAVIS AGNP - BC

MEDICARE:   GENEVIEVE SHARON DAVIS  AGNP - BC
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
1163WM0705XMedical-Surgical Registered Nurse802572CA
2363LG0600XGerontology Nurse Practitioner95034247CA
3363LA2200XAdult Health Nurse Practitioner95034247CA

General Provider Information

NPI Number : 1700684214
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENEVIEVE SHARON DAVIS AGNP - BC
Provider Business Mailing Address
First Line : 15519 DRACENA AVE
Second Line :
City : MOORPARK
State : CA
Zip : 93021-1612
Country : US
Telephone Number : 805-231-0948
Fax Number :
Provider Business Practice Location Address
First Line : 2750 PARK VIEW CT STE 250
Second Line :
City : OXNARD
State : CA
Zip : 93036-5458
Country : US
Telephone Number : 805-278-1688
Fax Number : 805-278-1699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2025
Last Update Date : 04/08/2026

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Directions to “ GENEVIEVE SHARON DAVIS AGNP - BC” Practice Location

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