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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NITA VIANN RANDOLPH DAVISON

Active

NITA VIANN RANDOLPH DAVISON is a Community Health Worker healthcare provider located in PETERSBURG, Virginia. NPI 1174934921 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · PETERSBURG, VA

Registration Details

NPI Number
1174934921
Provider Type
Individual
Gender
Female
NPI Issued
May 14, 2014 (12.246728018078 yrs)
Last Updated
Nov 14, 2023

Practice Information

Address
1889 S SYCAMORE ST
PETERSBURG, VA, 238052730
Browse VA providers · Browse ZIP 23805
Phone
8046059845
Fax
8048957853
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in PETERSBURG, VA

Name Credential NPI
TANDREA GRAHAM MSW 1740889872
RUSSELL BLAND 1598621203
JOHN SHAQUILLE POITIER 1639035710
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.