Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDI DAWNIELLE DAVIS, AGNP-C
ActiveAdult Health Nurse Practitioner · FAIRMONT, WV
Registration Details
- NPI Number
- 1700486008
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2020 (5.4921988191185 yrs)
- Last Updated
- Apr 15, 2022
- License
-
105753 (WV)
Practice Information
- Address
-
1543 COUNTRY CLUB RDFAIRMONT, WV, 265541306Browse WV providers · Browse ZIP 26554
- Phone
- 3043632273
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
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.