Individual
MRS. ALISA PORTER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1560 RENAISSANCE TOWNE DR STE 210, BOUNTIFUL, UT 84010-7666
(801) 397-6200
(801) 397-6201
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6991383-4405
UT
Other
Enumeration date
06/23/2022
Last updated
03/02/2023
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