Davis, Carol A
Davis, Carol A is an individual health care provider with primary practice located at 6900 Alden Dr. Bldg 160 F.E. Warren Afb, Cheyenne WY 82005-4800. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davis, Carol A can be contacted via phone (307) 773-5383.Contact Information
Primary practice address
6900 Alden Dr. Bldg 160 F.E. Warren Afb
Cheyenne WY 82005-4800
Phone: (307) 773-5383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 17455.1096 | Wyoming |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 17455 | Wyoming |
| Nursing Service Providers / Registered Nurse | 163W00000X | 17455.1096 | Wyoming |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP-990256 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 17455 | Wyoming |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 17455.1096 | Wyoming |
Profile Details
| NPI number | 1104101344 |
|---|---|
| LBN Legal business name | Davis, Carol A |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2011 |
| Last updated | May 4th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104101344 | NPPES |
| Wyoming | MEDICAID | 1104101344 |
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