Connie L. Davis
Nephrologist
208 Hospital Parkway
Mount Vernon
, Washington 98274
Connie L. Davis
Nephrologist
208 Hospital Parkway
Mount Vernon
, Washington 98274
(360) 428-6485
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Connie L. Davis
- 1400 E. Kincaid Street Attn: Credentialing
- Mount Vernon, WA
- Zip : 98274-4127
- Fax : (360) 428-6485
- Phone : (360) 428-2500
Second Address
- Connie L. Davis
- 208 Hospital Parkway
- Mount Vernon, WA
- Zip : 98274
- Fax : (360) 428-8576
- Phone : (360) 428-8260
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | MD00025078 | WA |
National Provider Identifier
| NPI | 1043395841 |
|---|---|
| Provider Name | Connie L. Davis |
| First Address | Mount Vernon, WA 98274-4127 |
| Second Address | Mount Vernon, WA 98274 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 13/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8303687 | (05) | WA |
| 9149 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
| A06450 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.