Individual provider · Type 1 NPI
Annetta Delores Davis, APN, C
Adult Health Nurse Practitioner · Lakewood, NJ
NPI number
1871808014
Active
Practice location
695 Cross St Ste 185
Lakewood, NJ 08701-4619
Fax (848) 456-5634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00299600 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1871808014
Annetta Delores Davis, APN, C's National Provider Identifier is 1871808014, issued on Aug 12, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lakewood, NJ. The record was last updated on Oct 26, 2026.