NPI 1922417674 · live from the CMS NPI Registry
Brenda Davis, CDE
Registered Nurse, Diabetes Educator in Mcloud, OK. National Provider Identifier 1922417674, active.
NPI record
| NPI | 1922417674 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 105365 South Hwy 102, Mcloud, OK 74851 |
| Practice phone | 405-964-2081 |
| Mailing address | 2011 Saddleback Blvd, Norman, OK 73072 |
| Enumerated | August 7, 2014 |
| Last updated | August 7, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | 68458 (OK) |
| Registered Nurse, Diabetes Educator | 163WD0400X | 21310468 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.