National Provider Identifier Database

CONNIE L DAVIS
Nephrology

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.


Contact Information

CONNIE L DAVIS
208 HOSPITAL PARKWAY
MOUNT VERNON, WA98274
Phone: 360-428-8260
Fax: 360-428-8576
Website:
Specialty Taxonomy Code
* Nephrology 207RN0300X

* Indicates primary specialty

NPI Profile & details for CONNIE L DAVIS

NPI Number 1043395841
Credentials
Entity Individual
Enumeration date 10/27/2006
Last updated 03/13/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • WA License #: MD00025078
  • WA Medicaid: 8303687
  • Other: 9149 INTERNAL ID-MOTOR VEHICLE ID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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