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Contact Information

CAROL A DAVIS, FNP-BC
6900 ALDEN DR. BLDG 160
F.E. WARREN AFB
CHEYENNE, WY82005-4800
 Phone: 307-773-5383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

163WC1500X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CAROL A DAVIS · (Female)

NPI # 1104101344
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/19/2011
Last updated 05/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CO License # NP-990256
  • WY License # 17455
  • WY License # 17455.1096
  • WY Medicaid 1104101344
Hospital affiliation(s) Not Available
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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