Provider Demographics
NPI:1114600863
Name:DAVIS, EFFIE RIGSBEE (CNA)
Entity Type:Individual
Prefix:MRS
First Name:EFFIE
Middle Name:RIGSBEE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 CAMERON CT APT C
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7927
Mailing Address - Country:US
Mailing Address - Phone:910-660-2791
Mailing Address - Fax:
Practice Address - Street 1:1451 CAMERON CT APT C
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7927
Practice Address - Country:US
Practice Address - Phone:910-660-2791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
NC0096103747P1801X
NC92-18643863747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty