Healthcare Provider Details

I. General information

NPI: 1285813592
Provider Name (Legal Business Name): ERIN DAVIS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN NICOLE MCLEOD RN

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S RANCHO DR
LAS VEGAS NV
89106-3810
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 907-966-2411
  • Fax:
Mailing address:
  • Phone: 702-877-5153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number22224
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF12170073
License Number StateAK
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number831083
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: