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NPI Code Detail

MEDICARE: BRIANA DAVIS RD

MEDICARE: BRIANA DAVIS RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86114627AZ

General Provider Information

NPI Number : 1114606571
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA DAVIS RD
Provider Business Mailing Address
First Line : 3033 N CENTRAL AVE STE 145
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2808
Country : US
Telephone Number : 623-583-3001
Fax Number : 623-974-6721
Provider Business Practice Location Address
First Line : 15351 W BELL RD
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-4580
Country : US
Telephone Number : 480-964-2273
Fax Number : 623-214-5214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2023
Last Update Date : 01/20/2026

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