Individual provider · Type 1 NPI

Marcella J. Davis, LPN

Student in an Organized Health Care Education/Training Program · Surprise, AZ

NPI number 1629470539 Active

Practice location

17032 W Surprise Farms Loop S
Surprise, AZ 85388-1581

Call (623) 523-8640 Map

Mailing address

17311 W Ivy Ln
Surprise, AZ 85388-1208

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XLP048622 (AZ)

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.

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About NPI 1629470539

Marcella J. Davis, LPN's National Provider Identifier is 1629470539, issued on Sep 23, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Surprise, AZ. The record was last updated on Sep 23, 2014.