Michael Alex Davidson, LICENSED PRACTICAL N Valid NPI

Individual provider · Licensed Practical Nurse · Little Rock, AR

NPI

1124842216

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

L057160 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2024-11-14

Last updated

2024-11-14