Davison, Nita Viann Randolph
Davison, Nita Viann Randolph is an individual health care provider with primary practice located at 1889 S Sycamore St , Petersburg VA 23805-2730. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Davison, Nita Viann Randolph can be contacted via phone (804) 605-9845.Contact Information
Primary practice address
1889 S Sycamore St
Petersburg VA 23805-2730
Phone: (804) 605-9845
Fax: (804) 895-7853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1174934921 |
|---|---|
| LBN Legal business name | Davison, Nita Viann Randolph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2014 |
| Last updated | Nov 14th, 2023 - about 2 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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