Individual
MARY-KATE BOH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3254
(225) 754-3278
Mailing address
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3254
(225) 754-3278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08666
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02156742
—
MS
05
—
2415646
—
LA
Enumeration date
03/07/2016
Last updated
07/22/2016
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