Davis, Deborah Requa

Davis, Deborah Requa is an individual health care provider with primary practice located at 3100 N Glassford Hill Rd , Prescott Valley AZ 86314-2285. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Deborah Requa can be contacted via phone (928) 777-7820.

Contact Information

Primary practice address
3100 N Glassford Hill Rd Prescott Valley AZ 86314-2285
Phone: (928) 777-7820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 265071 Arizona

Profile Details

NPI number 1235120445
LBN Legal business name Davis, Deborah Requa
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 6th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235120445 NPPES
Washington Other MD1314309 CONTROLLED SUBST. CERT.
Washington Other AP30007061 CONTROLLED SUBST. CERT.
Washington Other 265071 CONTROLLED SUBST. CERT.

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