Individual
KATHLEEN ANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN; NP
Contact information
Practice address
1241 E DYER RD STE 1451241E, SANTA ANA, CA 92705-5611
(949) 449-1112
Mailing address
3129 WOODMONT DR, SAN JOSE, CA 95118-1454
(559) 930-2518
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
NP9457
CA
163WW0101X
Ambulatory Women's Health Care Registered Nurse
336132
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
9457
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
NP9457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336132
REGISTERED NURSE
CA
01
—
9457
NURSE PRACTITIONER LIC
CA
Enumeration date
12/30/2005
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us