CANDACE-RAE DIANA DAVIS DNP RN CPNP-PC NPI 1588213532

NPI Information

NPI: 1588213532
Provider Name: CANDACE-RAE DIANA DAVIS, DNP, RN, CPNP-PC
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

PECOS Registration: Yes

Address:
1400 US HIGHWAY 61
FESTUS, MO
ZIP 63028
Phone: (314) 251-6299
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Candace-rae Diana Davis, DNP, RN, CPNP-PC is a pediatrics and critical care nurse practitioner in Festus, MO. Candace-rae Diana Davis, DNP, RN, CPNP-PC NPI is 1588213532. 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:

1400 US HIGHWAY 61
FESTUS, MO
ZIP 63028-100
Phone: (314) 251-6299

The NPI 1588213532 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 9/11/2019 and was last updated on 12/11/2023.

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	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	2013035101	MISSOURI	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: 4/28/2024

NPI Synchronization or Removal

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