MONA M DAVIS NP NPI 1154341196

NPI Information

NPI: 1154341196
Provider Name: MONA M DAVIS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
215 10TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 799-3100
Get Directions

Mona M Davis, NP is a family nurse practitioner in Lewiston, ID. Mona M Davis, NP NPI is 1154341196. 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:

215 10TH ST
LEWISTON, ID
ZIP 83501-912
Phone: (208) 799-3100
Fax: (208) 799-0349

The enumeration date for this NPI number is 7/20/2006 and was last updated on 7/9/2007.

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	363LF0000X	Nurse Practitioner	Family	NP347A	IDAHO	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	Q52812	MEDICARE UPIN	IDAHO
2	Q52812	OTHER	IDAHO	DEA NUMBER
3	9630088	MEDICAID	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

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