Davis, Derek

Davis, Derek is an individual health care provider with primary practice located at 1107 Hazeltine Blvd Ste 370 , Chaska MN 55318-1009. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Davis, Derek can be contacted via phone (952) 395-1441.

Contact Information

Primary practice address
1107 Hazeltine Blvd Ste 370 Chaska MN 55318-1009
Phone: (952) 395-1441
Fax: (952) 395-1442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10243 Minnesota

Profile Details

NPI number 1619668373
LBN Legal business name Davis, Derek
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2023
Last updated Jun 2nd, 2023 - about 3 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.

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