IndividualActive
Randi Davis, AGNP-C
NPI 1700486008 · Adult Health Nurse Practitioner · Fairmont, WV
Provider details
- NPI number
- 1700486008
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 105753 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1543 Country Club Rd
Fairmont, WV 26554-1306
Phone: (304) 363-2273
Approximate (ZIP-level) locationGet directions
Mailing address
1112 Palmer Rd
Adah, PA 15410-1130
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2022-04-15
- Certified
- 2022-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.