Davidson, Mimi Lea

Davidson, Mimi Lea is an individual health care provider with primary practice located at 8223 S. Quebec St. Suiite C, Centennial CO 80112. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davidson, Mimi Lea can be contacted via phone (303) 324-8789.

Contact Information

Primary practice address
8223 S. Quebec St. Suiite C Centennial CO 80112
Phone: (303) 324-8789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 229329 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F10230912 North Carolina

Profile Details

NPI number 1790539286
LBN Legal business name Davidson, Mimi Lea
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2024
Last updated Apr 15th, 2024 - about 5 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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