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NPI Code Detail

MEDICARE: DEBORAH L DAVIDSON WHNP

MEDICARE: DEBORAH L DAVIDSON WHNP
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
1363LW0102XWomen's Health Nurse PractitionerARNP 2835552FL

General Provider Information

NPI Number : 1710964010
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH L DAVIDSON WHNP
Provider Business Mailing Address
First Line : 7707 W GREENWOOD RD
Second Line :
City : SPOKANE
State : WA
Zip : 99224-9286
Country : US
Telephone Number : 509-247-4564
Fax Number :
Provider Business Practice Location Address
First Line : 7300 N PERIMETER RD
Second Line :
City : MALMSTROM AFB
State : MT
Zip : 59402-6701
Country : US
Telephone Number : 406-731-3410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 01/18/2018

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