Healthcare Provider Details

I. General information

NPI: 1679141493
Provider Name (Legal Business Name): HANNAH ELIZABETH DAVIS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 STOCKTON BLVD FL 5
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

701 HOSPITAL LOOP STE 350
FAIRCHILD AFB WA
99011-8704
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-2816
  • Fax:
Mailing address:
  • Phone: 509-247-5755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: