Healthcare Provider Details

I. General information

NPI: 1306862305
Provider Name (Legal Business Name): BARBARA ANN DAVIS RN FIRST ASSIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 FAIRFAX CIR E
BOYNTON BEACH FL
33436-8612
US

IV. Provider business mailing address

1312 FAIRFAX CIR E
BOYNTON BEACH FL
33436-8612
US

V. Phone/Fax

Practice location:
  • Phone: 561-964-9048
  • Fax: 561-963-7584
Mailing address:
  • Phone: 561-964-9048
  • Fax: 561-963-7584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberRN869212
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: