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Contact Information

STEPHANIE M DAVIS
3525 E LOUISE DR STE 401
MERIDIAN, ID83642-6303
 Phone: 208-322-1680
 Fax: 208-322-1695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

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

NPI # 1972051423
Status Active
Credentials
Entity Individual
Enumeration date 09/13/2016
Last updated 01/19/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • ID License # 4071397
  • WA License # AP61515215
  • WY License # 1682.1682
Hospital affiliation(s)
  • HOT SPRINGS COUNTY MEMORIAL HOSPITAL - (Critical Access)
    150 EAST ARAPAHOE
    THERMOPOLIS, WY 82443
  • MEMORIAL HOSPITAL OF CONVERSE COUNTY - (Critical Access)
    111 SOUTH 5TH STREET
    DOUGLAS, WY 82633
  • RIVERTON MEMORIAL HOSPITAL - (Acute Care)
    2100 W SUNSET DR
    RIVERTON, WY 82501
  • WASHAKIE MEDICAL CENTER - (Critical Access)
    400 SOUTH 15TH STREET
    WORLAND, WY 82401
  • WYOMING MEDICAL CENTER - (Acute Care)
    1233 EAST 2ND ST
    CASPER, WY 82601
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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