Etta Pearl Davis

Case Manager/Care Coordinator · Del City, OK

Individual Active NPI

NPI number 1831463371

Practice location

4638 SE 29TH St
Del City, OK 73115-3429
Phone
(405) 670-4644
Fax
(405) 670-4444

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NPI record

NPI
1831463371
Entity type
Individual (Type 1)
Enumeration date
March 1, 2012
Last updated
March 1, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Etta Davis

Etta Pearl Davis is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 4638 SE 29TH St, Del City, OK 73115-3429. The NPI number 1831463371 was assigned on March 1, 2012 and the record was last updated on March 1, 2012.

Frequently asked questions

What is the NPI number of Etta Pearl Davis?

The NPI number is 1831463371.

What is the phone number of Etta Davis?

The phone number listed for the practice location is (405) 670-4644.

Where is Etta Davis located?

4638 SE 29TH St, Del City, OK 73115-3429.

What is the taxonomy code for Etta Davis?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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