Davis, Nicole Marie

Davis, Nicole Marie is an sole proprietor health care provider with primary practice located at 371 Lily Mdws , Butte MT 59750-9749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Davis, Nicole Marie can be contacted via phone (406) 201-5937.

Contact Information

Primary practice address
371 Lily Mdws Butte MT 59750-9749
Phone: (406) 201-5937
Fax: (406) 792-8079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 267058 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 70357 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X TPAN1125 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NUR-APRN-LIC-176359 Montana

Profile Details

NPI number 1437728037
LBN Legal business name Davis, Nicole Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2021
Last updated Feb 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437728037 NPPES
Montana MEDICAID 100149711

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