Davis, Carolyn B

Davis, Carolyn B is an individual health care provider with primary practice located at 131 Welton Way , Mooresville NC 28117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Davis, Carolyn B can be contacted via phone (704) 360-4564.

Contact Information

Primary practice address
131 Welton Way Mooresville NC 28117
Phone: (704) 360-4564
Fax: (704) 360-4553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201516 North Carolina

Profile Details

NPI number 1942237409
LBN Legal business name Davis, Carolyn B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 25th, 2016 - about 8 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 1942237409 NPPES
North Carolina MEDICAID 7004074

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