National Provider Identifier
Randisha Renea Davis
Randisha Renea Davis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 721-3042.
Profile Overview
- NPI
- 1508431156
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 26, 2021
- Last Updated
- May 26, 2021
Practice Location
- 604 Suburban Ct Apt 5
- Rochester, NY 14620-3837
Phone: (585) 721-3042
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1508431156
- Entity Type
- Individual
- Last Name
- Davis
- First Name
- Randisha
- Middle Name
- Renea
- Mailing Street Address
- 604 Suburban Ct Apt 5
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3837
- Mailing Country
- US
- Mailing Phone
- (585) 721-3042
- Practice Street Address
- 604 Suburban Ct Apt 5
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3837
- Practice Country
- US
- Practice Phone
- (585) 721-3042
- Enumeration Date
- May 26, 2021
- Last Updated
- May 26, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 26, 2021
- Taxonomies
- Licensed Practical Nurse (164W00000X)