Individual
CYNTHIA RAE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 587-5559
(801) 585-0101
Mailing address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 587-5559
(801) 585-0101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7400693-4405
UT
363L00000X
Nurse Practitioner
Primary
APN000818
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506200
—
NV
Enumeration date
08/23/2006
Last updated
08/13/2009
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