Healthcare Provider Details

I. General information

NPI: 1669919320
Provider Name (Legal Business Name): CATHERINE DAVIS QUICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2017
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 HIGH ST STE 400
LEWISTON ME
04240-7690
US

IV. Provider business mailing address

701 LEIGHTON AVE
ANNISTON AL
36207-5745
US

V. Phone/Fax

Practice location:
  • Phone: 207-795-2704
  • Fax:
Mailing address:
  • Phone: 256-231-1231
  • Fax: 205-847-5563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP231368
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-102435
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-102435
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number1-102435
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: