SearchOklahoma363A00000X

Andrea Davis, PA

NPI 1437567039 · on the registry since 2014 · sole proprietor

Practice

Address
120 E Broadway St
Box 236
Wetumka, OK 74883
Phone
(405) 452-3151
Clinicians at this address
2

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma