Davis, Katilyn Marie

Davis, Katilyn Marie is an individual health care provider with primary practice located at 10617 Kyle Ave N , Brooklyn Park MN 55443-1249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Davis, Katilyn Marie can be contacted via phone (612) 802-4972.

Contact Information

Primary practice address
10617 Kyle Ave N Brooklyn Park MN 55443-1249
Phone: (612) 802-4972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R188521-1 Minnesota

Profile Details

NPI number 1043395361
LBN Legal business name Davis, Katilyn Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Apr 22nd, 2019 - 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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