Davis, Rachel Lynne

Davis, Rachel Lynne is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Davis, Rachel Lynne can be contacted via phone (208) 381-2222.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 63884 Idaho

Profile Details

NPI number 1174156962
LBN Legal business name Davis, Rachel Lynne
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2020
Last updated Feb 20th, 2020 - about 5 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 1174156962 NPPES
Idaho Other 63884 APRN-CNP LICENSE NUMBER

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