Individual
MALIA F DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 W 72ND AVE, DENVER, CO 80221-2721
(303) 650-4460
Mailing address
1345 PLAZA CT N STE 1A, LAFAYETTE, CO 80026-2832
(303) 665-3036
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
160971
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16276230
—
CO
Enumeration date
06/29/2006
Last updated
07/16/2013
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