Davis, Mark Anthony

Davis, Mark Anthony is an sole proprietor health care provider with primary practice located at 1520 Kelly Pl , Walla Walla WA 99362-8607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Davis, Mark Anthony can be contacted via phone (509) 575-4084.

Contact Information

Primary practice address
1520 Kelly Pl Walla Walla WA 99362-8607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61526319 Washington

Profile Details

NPI number 1265296412
LBN Legal business name Davis, Mark Anthony
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2024
Last updated Feb 8th, 2024 - about 7 months 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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