Healthcare Provider Details

I. General information

NPI: 1972105708
Provider Name (Legal Business Name): FRANCES DAVISON FNP-BC LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 W 3RD ST
YUMA AZ
85364-1812
US

IV. Provider business mailing address

PO BOX 2932
YUMA AZ
85366-2401
US

V. Phone/Fax

Practice location:
  • Phone: 928-276-4477
  • Fax: 928-276-4481
Mailing address:
  • Phone: 928-276-4477
  • Fax: 928-276-4481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TRISH ANGUIZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 928-276-4477