Healthcare Provider Details

I. General information

NPI: 1225395353
Provider Name (Legal Business Name): PUI YEE DAVIDSON R.N., B.S.N., P.H.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 04/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

597 CENTER AVE STE 200A
MARTINEZ CA
94553-4640
US

IV. Provider business mailing address

597 CENTER AVE. SUITE 200A
MARTINEZ CA
94553-4640
US

V. Phone/Fax

Practice location:
  • Phone: 925-313-6726
  • Fax: 925-313-6465
Mailing address:
  • Phone: 925-313-6726
  • Fax: 925-313-6465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number745922
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: