Davis, Mary Elizabeth

Davis, Mary Elizabeth is an individual health care provider with primary practice located at Country Doctor Community Clinic 500 19Th Avenue East, Seattle WA 98112-2114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Mary Elizabeth can be contacted via phone (206) 299-1600.

Contact Information

Primary practice address
Country Doctor Community Clinic 500 19Th Avenue East Seattle WA 98112-2114
Phone: (206) 299-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP 30000088 Washington

Profile Details

NPI number 1780678292
LBN Legal business name Davis, Mary Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 9th, 2007 - about 17 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 1780678292 NPPES
Washington MEDICAID 9600859

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