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Contact Information

MONA M DAVIS, NP
215 10TH ST
LEWISTON, ID83501-1912
 Phone: 208-799-3100
 Fax: 208-799-0349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MONA M DAVIS · (Female)

NPI Number 1154341196
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/20/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # NP347A
  • WA Medicaid 9630088
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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