Provider Demographics
NPI:1326229105
Name:DAVIS, MARCIA S (WHNP)
Entity Type:Individual
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First Name:MARCIA
Middle Name:S
Last Name:DAVIS
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Gender:F
Credentials:WHNP
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Mailing Address - Street 1:7130 GLEN FOREST DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3754
Mailing Address - Country:US
Mailing Address - Phone:804-662-6060
Mailing Address - Fax:804-282-8678
Practice Address - Street 1:5875 BREMO RD
Practice Address - Street 2:SUITE 400
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1934
Practice Address - Country:US
Practice Address - Phone:804-288-4084
Practice Address - Fax:804-282-2601
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
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Provider Licenses
StateLicense IDTaxonomies
VA0024085649363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology