Healthcare Provider Details

I. General information

NPI: 1881642007
Provider Name (Legal Business Name): CHRISTINA P DAVIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4611 E SHEA BLVD STE 120
PHOENIX AZ
85028-4255
US

IV. Provider business mailing address

3260 N HAYDEN RD STE 112
SCOTTSDALE AZ
85251-6650
US

V. Phone/Fax

Practice location:
  • Phone: 602-441-3845
  • Fax:
Mailing address:
  • Phone: 602-264-9100
  • Fax: 602-264-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3378
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: