Chaz Davis, FNP
Nurse Practitioner, Family in St George, UT. Individual provider (NPI-1).
NPI number1932672011
StatusActive
Last updated in NPPESMar 20, 2025
Details
- NPI
- 1932672011
- Entity type
- Individual (NPI-1)
- Name
- Chaz Davis
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2019
- Certification date
- Mar 20, 2025
- Last updated
- Mar 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11103138-4405 | UT | Yes |
Practice location
2019 E Riverside Dr Ste A200St George, UT 84790-8693
Phone 435-628-9298 · Fax 435-628-9655
Mailing address
1055 N 500 WAttn Credentialing
Provo, UT 84604
Phone 801-354-8225 · Fax 801-418-0941
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