Provider Demographics
NPI:1417455874
Name:DAVIS, ZHANA LASHANTI
Entity Type:Individual
Prefix:
First Name:ZHANA
Middle Name:LASHANTI
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 1:10620 N COUNCIL RD APT 15
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-4365
Mailing Address - Country:US
Mailing Address - Phone:510-712-2187
Mailing Address - Fax:
Practice Address - Street 1:10620 N COUNCIL RD APT 15
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-4365
Practice Address - Country:US
Practice Address - Phone:510-712-2187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician