Individual
MONA M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
215 10TH ST, LEWISTON, ID 83501-1912
(208) 799-3100
(208) 799-0349
Mailing address
215 10TH ST, LEWISTON, ID 83501-1912
(208) 799-3100
(208) 799-0349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP347A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9630088
—
WA
Enumeration date
07/20/2006
Last updated
03/07/2023
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