Mary K Davis is a Family in East Peoria, Illinois. Mary K Davis practices all healthcare services and medical treatments related to Family. The NPI Number for Mary K Davis is 1851548598. The last update date is 2011-12-16.
Mary K Davis's current location address is 300 N Main St, East Peoria, Illinois. You can contact this provider via phone number 8668253227. The mailing address for Mary K Davis is 300 N Main St, East Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary K Davis |
|---|---|
| Address | 300 N Main St, East Peoria, Illinois |
| Phone Number | 8668253227 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1851548598 |
|---|---|
| Provider Enumeration Date | 2008-08-25 |
| Last Updated Date | 2011-12-16 |
Provider Mailing Address Detail
| Address | 300 N Main St |
|---|---|
| City | East Peoria |
| State | Illinois (IL) |
| Post Code | 616112016 |
| Phone Number | 8668253227 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 209006024 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code issued to Mary K Davis by the Centers for Medicare & Medicaid Services?
The Mary K Davis has been assigned the NPI (National Provider Identifier) 1851548598 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary K Davis's physical address?
The Mary K Davis is physically located at 300 N Main St, in the city of East Peoria, IL, with the postal code 616112016.
What is Mary K Davis's area of expertise and its corresponding taxonomy classification?
The Mary K Davis's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1851548598 assigned to Mary K Davis?
The Mary K Davis was issued its 1851548598 on 2008-08-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary K Davis most recently updated or revised?
The details related to Mary K Davis, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-16.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY