Davis, Carol A

Davis, Carol A is an individual health care provider with primary practice located at 6900 Alden Dr. Bldg 160 F.E. Warren Afb, Cheyenne WY 82005-4800. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, 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. Davis, Carol A can be contacted via phone (307) 773-5383.

Contact Information

Primary practice address
6900 Alden Dr. Bldg 160 F.E. Warren Afb Cheyenne WY 82005-4800
Fax:
Website:

Profile Details

NPI number 1104101344
LBN Legal business name Davis, Carol A
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2011
Last updated May 4th, 2018 - about 6 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 1104101344 NPPES
Wyoming MEDICAID 1104101344

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