Individual
HEIDI ANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20102859
MN
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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