CAROL A DAVIS FNP-BC NPI 1104101344

NPI Information

NPI: 1104101344
Provider Name: CAROL A DAVIS, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6900 ALDEN DR. BLDG 160
F.E. WARREN AFB
CHEYENNE, WY
ZIP 82005
Phone: (307) 773-5383
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Carol A Davis, FNP-BC is a family nurse practitioner in Cheyenne, WY. Carol A Davis, FNP-BC NPI is 1104101344. 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:

6900 ALDEN DR. BLDG 160
F.E. WARREN AFB
CHEYENNE, WY
ZIP 82005-800
Phone: (307) 773-5383

The NPI 1104101344 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 10/19/2011 and was last updated on 5/4/2018.

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	163W00000X	Registered Nurse		17455.1096	WYOMING	No
2	163WC1500X	Registered Nurse	Community Health	17455.1096	WYOMING	No
3	363L00000X	Nurse Practitioner		NP-990256	COLORADO	No
4	363L00000X	Nurse Practitioner		17455	WYOMING	No
5	363LF0000X	Nurse Practitioner	Family	17455.1096	WYOMING	Yes
6	363LF0000X	Nurse Practitioner	Family	17455	WYOMING	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1104101344	MEDICAID	WYOMING

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: 4/28/2024

NPI Synchronization or Removal

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