Richard J Davis, CRNA
Nurse Anesthetist, Certified Registered in Tacoma, WA. Individual provider (NPI-1).
NPI number1508308974
StatusActive
Last updated in NPPESFeb 21, 2023
Details
- NPI
- 1508308974
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard J Davis
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2016
- Certification date
- Feb 21, 2023
- Last updated
- Feb 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP61154793 | WA | Yes |
Practice location
9040 Jackson AveTacoma, WA 98431-0001
Phone 253-986-1110
Mailing address
9040 Jackson AveTacoma, WA 98431-0001
Phone 253-986-1110
Other practice locations
209 Lilly Rd Ne
Olympia, WA 98506-5030
Olympia, WA 98506-5030
Phone 360-413-8250 · Fax 360-413-8830
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