Provider Demographics
NPI:1699384743
Name:DAVIS, AYRIANA NICHOLE
Entity Type:Individual
Prefix:MISS
First Name:AYRIANA
Middle Name:NICHOLE
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 1:8810 PALMETTO PARK
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-2140
Mailing Address - Country:US
Mailing Address - Phone:210-392-1933
Mailing Address - Fax:
Practice Address - Street 1:8810 PALMETTO PARK
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-2140
Practice Address - Country:US
Practice Address - Phone:210-392-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1005117163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse