Davis, Connie Lavon

Davis, Connie Lavon is an individual health care provider with primary practice located at 3130 Squalicum Pkwy Ste 100 , Bellingham WA 98225-1940. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Davis, Connie Lavon can be contacted via phone (360) 756-0382.

Contact Information

Primary practice address
3130 Squalicum Pkwy Ste 100 Bellingham WA 98225-1940
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN0077001 Washington
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP30003227 Washington

Profile Details

NPI number 1619392123
LBN Legal business name Davis, Connie Lavon
Credentials GNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2014
Last updated Feb 20th, 2014 - about 10 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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