Individual provider · Type 1 NPI
Brea Davis
Student in an Organized Health Care Education/Training Program · Wagoner, OK
NPI number
1437864642
Active
Practice location
72548 S 322 Way Lot 31
Wagoner, OK 74467-7050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Wagoner
About NPI 1437864642
Brea Davis's National Provider Identifier is 1437864642, issued on Jan 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wagoner, OK. The record was last updated on Jan 23, 2023.