Nicholas Davis
General Practice in Fpo, AP. Individual provider (NPI-1).
NPI number1669970588
StatusActive
Last updated in NPPESMar 1, 2023
Details
- NPI
- 1669970588
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nicholas Davis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2018
- Certification date
- Feb 28, 2023
- Last updated
- Mar 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 0101267467 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
U.S. Naval Hospital OkinawaFpo, AP 96362
Phone 098-971-9355
Mailing address
Mwss-172 Unit 37206 (Medical)Fpo, AP 96373-7206
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