KATRINA ELLEN DAVIS CPNP NPI 1063544930

NPI Information

NPI: 1063544930
Provider Name: KATRINA ELLEN DAVIS, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
891 23RD ST NE
SALEM, OR
ZIP 97301
Phone: (503) 364-2181
Get Directions

Katrina Ellen Davis, CPNP is a pediatrics nurse practitioner in Salem, OR. Katrina Ellen Davis, CPNP NPI is 1063544930. 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:

891 23RD ST NE
SALEM, OR
ZIP 97301
Phone: (503) 364-2181
Fax: (503) 364-0364

The enumeration date for this NPI number is 3/9/2007 and was last updated on 3/7/2023.

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	363LP0200X	Nurse Practitioner	Pediatrics	000028939N2PNPPP	OREGON	Yes

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	269713	MEDICAID	OREGON

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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