MEDICARE: MS. RASHEEDA NIKIA DAVIS

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
1	376K00000X	Nurse's Aide	400051381101	OH

General Provider Information

NPI Number	:	1972839017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RASHEEDA NIKIA DAVIS

Provider Business Mailing Address
First Line	:	3152 BAYLOR CIR
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-6159
Country	:	US
Telephone Number	:	440-836-4480
Fax Number	:

Provider Business Practice Location Address
First Line	:	3427 HARTWOOD RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44112-3029
Country	:	US
Telephone Number	:	330-312-3101
Fax Number	:	216-938-9370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2009
Last Update Date	:	04/09/2021

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