Provider Demographics
NPI:1376977355
Name:ASHER, DAVIDA LEE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DAVIDA
Middle Name:LEE
Last Name:ASHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 VANDIVER DR STE Y
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-3918
Mailing Address - Country:US
Mailing Address - Phone:573-449-8338
Mailing Address - Fax:573-449-8344
Practice Address - Street 1:1301 VANDIVER DR STE Y
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-3918
Practice Address - Country:US
Practice Address - Phone:573-449-8338
Practice Address - Fax:573-449-8344
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPN018579164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse