Ayantae Davis, lpn
Licensed Practical Nurse in Lumber Bridge, NC. Individual provider (NPI-1).
NPI number1982045274
StatusActive
Last updated in NPPESJul 15, 2013
Details
- NPI
- 1982045274
- Entity type
- Individual (NPI-1)
- Name
- Ayantae Davis
- Credential
- lpn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2013
- Last updated
- Jul 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 76558 | NC | Yes |
Practice location
205 Brooke RunLumber Bridge, NC 28357-8780
Phone 910-364-8160
Mailing address
205 Brooke RunLumber Bridge, NC 28357-8780
Phone 910-364-8160
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