NPI 1366725020 · live from the CMS NPI Registry
Heidi Anne Davis, C.N.P.
Nurse Practitioner, Pediatrics in Saint Paul, MN. National Provider Identifier 1366725020, active.
NPI record
| NPI | 1366725020 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 200 University Ave E, Saint Paul, MN 55101 |
| Practice phone | 651-291-2848 |
| Enumerated | September 20, 2011 |
| Last updated | September 20, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 20102859 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.