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NPI Code Detail

MEDICARE: MONICA REBEKAH DAVIS NP

MEDICARE: MONICA REBEKAH DAVIS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner5379524KS

General Provider Information

NPI Number : 1376272856
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA REBEKAH DAVIS NP
Provider Business Mailing Address
First Line : 8451 E PAWNEE ST
Second Line :
City : WICHITA
State : KS
Zip : 67207-5420
Country : US
Telephone Number : 316-618-0035
Fax Number : 316-633-4468
Provider Business Practice Location Address
First Line : 8451 E PAWNEE ST
Second Line :
City : WICHITA
State : KS
Zip : 67207-5420
Country : US
Telephone Number : 316-618-0035
Fax Number : 316-633-4468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2022
Last Update Date : 04/14/2026

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