NPI 1174934921

Nita Viann Randolph Davison

Practitioner Community Health Worker Petersburg, VA

Practice location

Address: 1889 S Sycamore St, Petersburg, VA 23805-2730
Phone: (804) 605-9845
Fax: (804) 895-7853

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Virginia →

Registry record

NPI: 1174934921
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2014
Record last updated: 14 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.