Davis, Angela C

Davis, Angela C is an individual health care provider with primary practice located at 1100 Andre St Ste 300 Yps - Credentialing, New Iberia LA 70563-2159. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Davis, Angela C can be contacted via phone (337) 364-9225.

Contact Information

Primary practice address
1100 Andre St Ste 300 Yps - Credentialing New Iberia LA 70563-2159
Phone: (337) 364-9225
Fax: (337) 364-6094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP06028 Louisiana

Profile Details

NPI number 1790017523
LBN Legal business name Davis, Angela C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2010
Last updated Dec 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790017523 NPPES
Louisiana MEDICAID 2135619
Louisiana Other 1790017523

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