IndividualActive
Bettiejoe Davis
NPI 1386020048 · Health & Wellness Coach · Brandywine, MD
Provider details
- NPI number
- 1386020048
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 16AL1132-A (MD)
Specialties & taxonomies
Other Service Providers
Nursing & Custodial Care Facilities
Practice location
5011 Floral Park Rd
Brandywine, MD 20613-9153
Phone: (240) 396-7662
Approximate (ZIP-level) locationGet directions
Mailing address
5011 Floral Park Rd
Brandywine, MD 20613-9153
Registry dates
- Enumerated
- 2015-08-05
- Last updated
- 2022-08-10
- Certified
- 2022-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.