Most Relevant Information
Provider Data
| NPI Number: | 1003392556 |
| Provider Name: | NATASHA RENEE DAVIS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 1333-66 |
Most Important Dates
| Enumeration Date: | 07/18/2018 |
| Last Updated: | 07/18/2018 |
Provider Practice Location
4950 NORTHCUTT PL
DAYTON
OH
454143840
Practice Location Phone/Fax
| Phone: | 9374962020 |
| Fax: |
Provider Mailing Location
138 WHITMORE AVE
DAYTON
OH
454171434
Provider Mailing Phone/Fax
| Phone: | 9373045643 |
| Fax: |