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.
Provider's Profile
Full Name | Angela Lynn Davis |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 4480 County Road 2000, Auxvasse, Missouri |
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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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