Glenn Davis, is a
Licensed Vocational Nurse based in Mililani, Hawaii. Glenn Davis is licensed to practice in California (license number VN 176642) and his current practice location is
95-270 Waikalani Dr, Apt B104, Mililani, Hawaii. He can be reached at his office (for appointments etc.) via phone at
(808) 369-5820.
NPI number for Glenn Davis is 1770913642 and his current mailing address is 95-270 Waikalani Dr, Apt B104, Mililani, Hawaii. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770913642.
Provider's Profile
| Full Name | Glenn Davis |
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| Gender | Male |
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| Speciality | Licensed Vocational Nurse |
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| Location | 95-270 Waikalani Dr, Mililani, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770913642
- Provider Enumeration Date: 11/13/2013
- Last Update Date: 11/13/2013
Medical Identifiers
Medical identifiers for Glenn Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770913642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | VN 176642 (California) | 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. Glenn 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 |
|---|
Glenn Davis,
95-270 Waikalani Dr, Apt B104,
Mililani, HI 96789-3527
Ph: (808) 369-5820 | Glenn Davis,
95-270 Waikalani Dr, Apt B104,
Mililani, HI 96789-3527
Ph: (808) 369-5820 |
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