Individual provider · Type 1 NPI
Mina Davis, NURSE PRACTITIONER
Maternal Newborn Registered Nurse · Corona, CA
NPI number
1891475455
Active
Practice location
321 W Rincon St Unit 412
Corona, CA 92878-5710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95025097 (CA) |
| Maternal Newborn Registered Nurse Primary | 163WM0102X | 95191633 (CA) |
Maternal Newborn Registered Nurse: Definition to come...
About NPI 1891475455
Mina Davis, NURSE PRACTITIONER's National Provider Identifier is 1891475455, issued on Jul 19, 2023. The primary taxonomy on file is Maternal Newborn Registered Nurse (163WM0102X), and the practice location is in Corona, CA. The record was last updated on Aug 3, 2023.