Katrina Ellen Davis in Salem - Pediatrics
Katrina Ellen Davis - NPI 1063544930
Katrina Ellen Davis is a Pediatrics in Salem, Oregon. Katrina Ellen Davis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Katrina Ellen Davis is 1063544930. The last update date is 2023-03-07.
Katrina Ellen Davis's current location address is 3269 Lorian Ln Se, Salem, Oregon. You can contact this provider via phone number 5035854459. The mailing address for Katrina Ellen Davis is 3269 Lorian Ln Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katrina Ellen Davis |
|---|---|
| Address | 3269 Lorian Ln Se, Salem, Oregon |
| Phone Number | 5035854459 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1063544930 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 3269 Lorian Ln Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973023225 |
| Phone Number | 5035854459 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 000028939N2P |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269713 | OR | -- |
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What is the unique identification code assigned to Katrina Ellen Davis by the Centers for Medicare & Medicaid Services?
The Katrina Ellen Davis has been issued the NPI (National Provider Identifier) 1063544930. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Katrina Ellen Davis's physical address?
The Katrina Ellen Davis is physically located at 3269 Lorian Ln Se, in the city of Salem, OR, with the postal code 973023225.
What is Katrina Ellen Davis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Katrina Ellen Davis is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
On what date did Katrina Ellen Davis receive its 1063544930 assignment from the Centers for Medicare & Medicaid Services?
The Katrina Ellen Davis was assigned its 1063544930 on 2007-03-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Katrina Ellen Davis most recently updated or revised?
The information pertaining to Katrina Ellen Davis, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.
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