Davis, Shasta

Davis, Shasta is an individual health care provider with primary practice located at 909 Alameda St , Norman OK 73071-5229. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Davis, Shasta can be contacted via phone (405) 360-5100.

Contact Information

Primary practice address
909 Alameda St Norman OK 73071-5229
Phone: (405) 360-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R0134719 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 215762 Oklahoma

Profile Details

NPI number 1811503329
LBN Legal business name Davis, Shasta
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2020
Last updated Nov 6th, 2023 - about last year

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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