Individual
SIMONE NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1474 W 103RD PL, NORTHGLENN, CO 80260-7116
(720) 483-3556
Mailing address
1474 W 103RD PL, NORTHGLENN, CO 80260-7116
(720) 483-3556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
195569
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195569
REGISTERED NURSE
CO
Enumeration date
03/04/2015
Last updated
03/04/2015
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