Individual
MRS. KATILYN MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5200 DOUGLAS DR N, CRYSTAL, MN 55429-3104
(888) 290-1209
Mailing address
5200 DOUGLAS DR N, CRYSTAL, MN 55429-3104
(888) 290-1209
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R188521-1
MN
Other
Enumeration date
10/26/2006
Last updated
01/09/2026
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