IndividualActive
Angela Davis, LPN
NPI 1629204615 · Licensed Practical Nurse · Auxvasse, MO
Provider details
- NPI number
- 1629204615
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 051311 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
4480 County Road 2000
Auxvasse, MO 65231-1236
Phone: (573) 582-7472
Approximate (ZIP-level) locationGet directions
Mailing address
4480 County Road 2000
Auxvasse, MO 65231-1236
Registry dates
- Enumerated
- 2009-06-03
- Last updated
- 2009-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.