Davidson, Miriam A
Davidson, Miriam A is an individual health care provider with primary practice located at 350 City View Dr Ste 302 , Evanston WY 82930-5307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Davidson, Miriam A can be contacted via phone (307) 789-7915.Contact Information
Primary practice address
350 City View Dr Ste 302
Evanston WY 82930-5307
Phone: (307) 789-7915
Fax: (307) 789-7915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 25621.1033RX | Wyoming |
Profile Details
| NPI number | 1932427671 |
|---|---|
| LBN Legal business name | Davidson, Miriam A |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2010 |
| Last updated | Dec 7th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932427671 | NPPES |
| Wyoming | Other | 25621.1033RX | PSYCHIATRIC NURSE PRACTIONNER |
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