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Contact Information

MARK E DAVIS, CNP
801 5TH ST
SIOUX CITY, IA51101
 Phone: 712-279-2010
 Fax: 712-279-2034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARK E DAVIS · (Male)

NPI # 1053705871
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 03/19/2015
Last updated 07/19/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # C-APN.0000471
  • IA License # A155082
  • NM License # CNP-02625
  • NY License # F343808-1
  • VA License # 0024176683
Hospital affiliation(s)
  • CHEROKEE REGIONAL MEDICAL CENTER - (Critical Access)
    300 SIOUX VALLEY DRIVE
    CHEROKEE, IA 51012
  • HORN MEMORIAL HOSPITAL - (Critical Access)
    701 E 2ND ST
    IDA GROVE, IA 51445
  • MERCY MEDICAL CENTER-SIOUX CITY - (Acute Care)
    801 5TH ST
    SIOUX CITY, IA 51101
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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