Provider Demographics
NPI:1275022246
Name:DAVIS, BREANA FRANCIS
Entity Type:Individual
Prefix:
First Name:BREANA
Middle Name:FRANCIS
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 15TH AVE NE APT 4
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2548
Mailing Address - Country:US
Mailing Address - Phone:206-849-2641
Mailing Address - Fax:
Practice Address - Street 1:5720 15TH AVE NE APT 4
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2548
Practice Address - Country:US
Practice Address - Phone:206-849-2641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-05
Last Update Date:2018-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty