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ROLANDA DAVIS

Nursing Service Providers Registered Nurse Psychiatric/Mental Health

Provider NPI: 1528202249

Provider Information:
 ROLANDA  DAVIS 
Gender: F
Not Sole Proprietor

Practice Location:
700 S PENN AVENUE  BARTLESVILLE, OK 74003 US
Tel: 918-337-8080  Fax: --

Business Mailing Address:
3224 SW 119TH ST STE A OKLAHOMA CITY, OK 73170-4546 US
Tel: 918-599-3740  Fax: --

NPI Information:
NPI: 1528202249
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WP0808XNursing Service Providers
Registered Nurse
Psychiatric/Mental Health
OK95063
N363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
TXAP136864
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
TXAP136864

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363LA2200X

Type:

Classification:



Definition:



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