Individual provider · NPI-1

Talia Denise Davis, LPN

Licensed Practical Nurse · Wilmington, DE

NPI number1104293331
StatusActive
Last updated in NPPESAug 24, 2015

Details

NPI
1104293331
Entity type
Individual (NPI-1)
Name
Talia Denise Davis
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 24, 2015
Last updated
Aug 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseL2-0009926DEYes

Practice location

2713 Lancaster Ave
Wilmington, DE 19805-5220

Phone 302-656-2348

Mailing address

8 Colony Blvd
Apt 307
Wilmington, DE 19802-1465

Phone 302-399-7159

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