Willard Robert Davis, APRN
Nurse Practitioner, Family in Riverton, UT. Individual provider (NPI-1).
NPI number1992329288
StatusActive
Last updated in NPPESOct 5, 2021
Details
- NPI
- 1992329288
- Entity type
- Individual (NPI-1)
- Name
- Willard Robert Davis
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2020
- Certification date
- Oct 1, 2021
- Last updated
- Oct 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 8003742-4405 | UT | Yes |
Practice location
3409 W 12600 S Ste 230Riverton, UT 84065-7270
Phone 801-252-6116
Mailing address
3409 W 12600 S Ste 230Riverton, UT 84065-7270
Phone 801-252-6116
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All 43 Family Nurse Practitioner providers in Riverton · All 976 providers in Riverton
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