Individual
MIMI LEA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8223 S. QUEBEC ST., SUIITE C, CENTENNIAL, CO 80112
(303) 324-8789
Mailing address
8223 S. QUEBEC ST., SUIITE C, CENTENNIAL, CO 80112
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
229329
NC
363LF0000X
Family Nurse Practitioner
Primary
F10230912
NC
Other
Enumeration date
04/12/2024
Last updated
04/15/2024
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