MRS. KATILYN MARIE DAVIS CNP NPI 1043395361

NPI Information

NPI: 1043395361
Provider Name: MRS. KATILYN MARIE DAVIS, CNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
10617 KYLE AVE N
BROOKLYN PARK, MN
ZIP 55443
Phone: (612) 802-4972
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MRS. Katilyn Marie Davis, CNP is a gerontology nurse practitioner in Brooklyn Park, MN with 10 years of experience. MRS. Katilyn Marie Davis, CNP NPI is 1043395361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10617 KYLE AVE N
BROOKLYN PARK, MN
ZIP 55443-249
Phone: (612) 802-4972

The NPI 1043395361 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 4/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	R188521-1	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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