Carol Davis, RN

Individual provider Active NPI Critical Care Medicine Registered Nurse · Altoona, AL

NPI 1265890107 · NPPES record last updated Feb 6, 2016

Key facts

NPI
1265890107
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine Registered Nurse 163WC0200X
License
1-096268 (AL)
Practice address
6532 Walnut Grove Rd
Altoona, AL 35952-8405
Phone
(205) 589-6394
NPI assigned
Feb 6, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-096268ALMDCritical Care Medicine Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 1-096268 AL Yes

Addresses

Primary practice location

6532 Walnut Grove Rd
Altoona, AL 35952-8405

Mailing address

2837 Springville Blvd
Oneonta, AL 35121-7054

Other providers in Altoona, AL

All providers in Altoona, AL · Critical Care Medicine Registered Nurse in Alabama

Sources for this page

Verify at the official NPI Registry.