Individual provider · Type 1 NPI
Richard Isaac Davidson, LPN
Licensed Practical Nurse · Des Moines, WA
NPI number
1124536305
Active
Practice location
22447 24th Ave S
Des Moines, WA 98198-7103
Mailing address
15675 Ambaum Blvd SW
Burien, WA 98166-2523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LP60598660 (WA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1124536305
Richard Isaac Davidson, LPN's National Provider Identifier is 1124536305, issued on Jan 22, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Des Moines, WA. The record was last updated on Jan 22, 2018.