Healthcare Provider Details

I. General information

NPI: 1306740576
Provider Name (Legal Business Name): FLAVIA M DAVIDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 220215
ANCHORAGE AK
99522-0215
US

IV. Provider business mailing address

2907 IRIS DR
ANCHORAGE AK
99517-3288
US

V. Phone/Fax

Practice location:
  • Phone: 907-917-4924
  • Fax:
Mailing address:
  • Phone: 907-917-4924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: