person
Miriam A Davidson, PNP
Psychiatric/Mental Health Nurse Practitioner in Evanston, Wyoming
NPI 1932427671

Miriam A Davidson is a Psychiatric/Mental Health Nurse Practitioner based in Greeley, WY and is specialized in Psychiatric/Mental Health. Miriam A Davidson practices in Evanston, WY and has the professional credentials of PNP. The NPI Number for Miriam A Davidson is 1932427671 and holds a License No. 25621.1033RX (Wyoming).

The current practice location address for Miriam A Davidson is 350 City View Dr Ste 302, Evanston, WY and can be reached out via phone at 307-789-7915 and via fax at 307-789-7915. You can also correspond with Miriam A Davidson through the mailing address at 1300 N 17TH AVE, GREELEY, CO - 80631-9584 (mailing address contact number: 970-347-2120).

Location: 350 City View Dr Ste 302, Evanston, WY, 80631-9584
person
Provider Profile Details
NPI Number
1932427671
Provider Name
Miriam A Davidson
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
350 City View Dr Ste 302, Evanston, WY, 80631-9584
Phone Number
307-789-7915
Fax Number
307-789-7915
Provider Enumeration Date
05/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25621.1033RX 01 WY PSYCHIATRIC NURSE PRACTIONNER
institution
Provider Business Practice Location Address Details
Address
350 City View Dr Ste 302
City
State
Zip
82930-5307
Phone Number
307-789-7915
Fax Number
307-789-7915
person
Provider Business Mailing Address Details
Address
350 City View Dr Ste 302
City
State
Zip
82930-5307
Phone Number
307-789-7915
Fax Number
307-789-7915
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
25621.1033RX (Wyoming)
Definition
Definition to come...
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