Healthcare Provider Details
I. General information
NPI: 1073727731
Provider Name (Legal Business Name): BARBARA ANNE DAVIES N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2413 HILLSIDE LN
EVERETT WA
98203-1413
US
IV. Provider business mailing address
2413 HILLSIDE LN
EVERETT WA
98203-1413
US
V. Phone/Fax
- Phone: 425-231-4342
- Fax:
- Phone: 425-231-4342
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | 771 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: