Angela Lynn Davis, LPN in Auxvasse, MO - Licensed Practical Nurse

Angela Lynn Davis, LPN is a Licensed Practical Nurse based in Auxvasse, Missouri. Angela Lynn Davis is licensed to practice in Missouri (license number 051311) and her current practice location is 4480 County Road 2000, Auxvasse, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 582-7472.

NPI number for Angela Lynn Davis is 1629204615 and her current mailing address is 4480 County Road 2000, Auxvasse, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629204615.

Contact Information

	Angela Lynn Davis, LPN
	4480 County Road 2000, Auxvasse, MO 65231-1236
	(573) 582-7472
	Not Available

Provider's Profile

Full Name	Angela Lynn Davis
Gender	Female
Speciality	Licensed Practical Nurse
Location	4480 County Road 2000, Auxvasse, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1629204615
Provider Enumeration Date: 06/03/2009
Last Update Date: 06/03/2009

Medical Identifiers

Medical identifiers for Angela Lynn Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629204615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	051311 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Lynn Davis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angela Lynn Davis, LPN 4480 County Road 2000, Auxvasse, MO 65231-1236 Ph: (573) 582-7472	Angela Lynn Davis, LPN 4480 County Road 2000, Auxvasse, MO 65231-1236 Ph: (573) 582-7472

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Angela Lynn Davis, LPN - Licensed Practical Nurse in Auxvasse, MO