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Mr. Mark Anthony Davis, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Walla Walla, Washington
NPI 1265296412

Mark Anthony Davis is a Psychiatric/Mental Health Nurse Practitioner based in Walla Walla, WA and is specialized in Psychiatric/Mental Health. Mark Anthony Davis practices in Walla Walla, WA and has the professional credentials of PMHNP-BC. The NPI Number for Mark Anthony Davis is 1265296412 and holds a License No. AP61526319 (Washington).

The current practice location address for Mark Anthony Davis is 1520 Kelly Pl, Walla Walla, WA and can be reached out via phone at 509-575-4084.

Location: 1520 Kelly Pl, Walla Walla, WA, 99362-8607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265296412
Provider Name
Mark Anthony Davis
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1520 Kelly Pl, Walla Walla, WA, 99362-8607
Phone Number
509-575-4084
Fax Number
Provider Enumeration Date
02/08/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1520 Kelly Pl
City
Walla Walla
State
Washington
Zip
99362-8607
Phone Number
509-575-4084
Fax Number
person
Provider Business Mailing Address Details
Address
1520 Kelly Pl
City
Walla Walla
State
Washington
Zip
99362-8607
Phone Number
509-575-4084
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP61526319 (Washington)
Definition
Definition to come...
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