VIVIAN MYERS DAVIS CRNP NPI 1396134722

NPI Information

NPI: 1396134722
Provider Name: VIVIAN MYERS DAVIS, CRNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
5330 STADIUM TRACE PKWY
SUITE 150
HOOVER, AL
ZIP 35244
Phone: (205) 403-2020
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Vivian Myers Davis, CRNP is a primary care nurse practitioner in Hoover, AL. Vivian Myers Davis, CRNP NPI is 1396134722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5330 STADIUM TRACE PKWY
SUITE 150
HOOVER, AL
ZIP 35244-525
Phone: (205) 403-2020
Fax: (205) 403-2888

The enumeration date for this NPI number is 1/22/2015 and was last updated on 5/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	1-126512	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1396134722	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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