Provider Demographics
NPI:1114748217
Name:DAVIS, DANA YVETTE
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:YVETTE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 GAINESVILLE ST SE APT 101
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3275
Mailing Address - Country:US
Mailing Address - Phone:240-441-4027
Mailing Address - Fax:
Practice Address - Street 1:1601 GAINESVILLE ST SE APT 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3275
Practice Address - Country:US
Practice Address - Phone:240-441-4027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant