Individual provider · Type 1 NPI
Richard Alan Davis
Psychiatric/Mental Health Nurse Practitioner · Seal Beach, CA
NPI number
1104707249
Active
Practice location
3631 Bluebell St
Seal Beach, CA 90740-2816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95035238 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104707249
Richard Alan Davis's National Provider Identifier is 1104707249, issued on Sep 8, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Seal Beach, CA. The record was last updated on Sep 8, 2025.