Individual
CALLIE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1120 MINNEQUA AVE, PUEBLO, CO 81004-3734
(719) 281-3285
Mailing address
75 PRINTERS PKWY, STE 200, COLORADO SPRINGS, CO 80910-3142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0996306-NP
CO
Other
Enumeration date
03/15/2021
Last updated
03/09/2022
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