Davidson, Laura M.

Davidson, Laura M. is an individual health care provider with primary practice located at 12200 W 110Th St , Overland Park KS 66210-4045. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davidson, Laura M. can be contacted via phone (913) 574-2650.

Contact Information

Primary practice address
12200 W 110Th St Overland Park KS 66210-4045
Phone: (913) 574-2650
Fax: (913) 574-2769
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 141021 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 13-70764-072 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011034124 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 77951 Kansas

Profile Details

NPI number 1609151216
LBN Legal business name Davidson, Laura M.
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2011
Last updated Apr 17th, 2018 - about 7 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 1609151216 NPPES
Missouri MEDICAID 1609151216
Missouri MEDICAID 200749270B
Missouri MEDICAID 200749270A

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