Davis, Nicole Marie
Davis, Nicole Marie is an sole proprietor health care provider with primary practice located at 371 Lily Mdws , Butte MT 59750-9749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Davis, Nicole Marie can be contacted via phone (406) 201-5937.Contact Information
Primary practice address
371 Lily Mdws
Butte MT 59750-9749
Phone: (406) 201-5937
Fax: (406) 792-8079
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 267058 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 70357 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | TPAN1125 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | NUR-APRN-LIC-176359 | Montana |
Profile Details
NPI number | 1437728037 |
---|---|
LBN Legal business name | Davis, Nicole Marie |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 18th, 2021 |
Last updated | Feb 27th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437728037 | NPPES |
Montana | MEDICAID | 100149711 |
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