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NPI Code Detail

MEDICARE: MRS. HOLLY ANN DAVIS CPC-I

MEDICARE:  MRS. HOLLY ANN DAVIS  CPC-I
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1508264425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOLLY ANN DAVIS CPC-I
Provider Business Mailing Address
First Line : 4716 ANCHORAGE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-5101
Country : US
Telephone Number : 702-626-9400
Fax Number : 702-852-5695
Provider Business Practice Location Address
First Line : 2400 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0420
Country : US
Telephone Number : 702-626-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2014
Last Update Date : 11/30/2018

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Directions to “ MRS. HOLLY ANN DAVIS CPC-I” Practice Location

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