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Mona M Davis, NP
Family Nurse Practitioner in Lewiston, Idaho
NPI 1154341196

Mona M Davis is a Family Nurse Practitioner based in Lewiston, ID and is specialized in Family. Mona M Davis practices in Lewiston, ID and has the professional credentials of NP. The NPI Number for Mona M Davis is 1154341196 and holds a License No. NP347A (Idaho).

The current practice location address for Mona M Davis is 215 10Th St, Lewiston, ID and can be reached out via phone at 208-799-3100 and via fax at 208-799-0349.

Location: 215 10Th St, Lewiston, ID, 83501-1912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154341196
Provider Name
Mona M Davis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
215 10Th St, Lewiston, ID, 83501-1912
Phone Number
208-799-3100
Fax Number
208-799-0349
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9630088 05 WA
institution
Provider Business Practice Location Address Details
Address
215 10Th St
City
Lewiston
State
Idaho
Zip
83501-1912
Phone Number
208-799-3100
Fax Number
208-799-0349
person
Provider Business Mailing Address Details
Address
215 10Th St
City
Lewiston
State
Idaho
Zip
83501-1912
Phone Number
208-799-3100
Fax Number
208-799-0349
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP347A (Idaho)
Definition
Definition to come...
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