Healthcare Provider Details

I. General information

NPI: 1528778719
Provider Name (Legal Business Name): NATASHA DAVIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SC HOUSE CALLS INC 111 DOCTORS CIRCLE
COLUMBIA SC
29203
US

IV. Provider business mailing address

SC HOUSE CALLS INC 111 DOCTORS CIRCLE
COLUMBIA SC
29203
US

V. Phone/Fax

Practice location:
  • Phone: 800-491-0909
  • Fax:
Mailing address:
  • Phone: 800-491-0909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number26911
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number225567
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26911
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: