Davidson, Carrie

Davidson, Carrie is an individual health care provider with primary practice located at 35200 Bob Hope Dr , Rancho Mirage CA 92270-1748. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Davidson, Carrie can be contacted via phone (760) 328-8884.

Contact Information

Primary practice address
35200 Bob Hope Dr Rancho Mirage CA 92270-1748
Phone: (760) 328-8884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X CA55091 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X CA55091 California

Profile Details

NPI number 1609389329
LBN Legal business name Davidson, Carrie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2017
Last updated Jul 29th, 2021 - about 3 years 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 1609389329 NPPES
California Other PA55091 THE MEDICAL BOARD OF CALIFORNIA

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