ALYCIA DAVIDSON (NPI# 1336765387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336765387 |
| Entity Type | Individual |
| Full Name | ALYCIA DAVIDSON |
| Credential | NP-C |
| Practice Address |
325 East H Street Iron Mountain MI 49801 |
| Mailing Address |
208 N 7th St Marquette MI 49855-4125 |
| Practice Telephone | 9067743300 |
| Mailing Telephone | 7738590556 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
47044290096 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
325 EAST H STREET |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245213511 | Judith A Bjork | Nurse Practitioner | 325 East H Street, Oscar G. Johnson Va Medical Center, Iron Mountain, MI 49801-4792 | 2005-11-21 |
| 1386963486 | Roberta Ann Beller | Nurse Practitioner | 325 East H Street, Oscar G. Johnson Va Medical Center, Iron Mountain, MI 49801-4792 | 2010-05-28 |
| 1316275696 | Brenda Sue Nurmela | Dietitian, Registered | 325 East H Street, Oscar G. Johnson Va Medical Center, Iron Mountain, MI 49801 | 2009-11-25 |
| 1881792802 | Kari Waise | Pharmacist | 325 East H Street, Iron Mountain, MI 49801 | 2006-09-21 |
| 1023111986 | Leonard Alex Graham | Pharmacist | 325 East H Street, Iron Mountain, MI 49801 | 2006-09-06 |
| 1194740175 | Mark Alan Victor | General Practice | 325 East H Street, Oscar Johnson Va Hospital Iron Mountain, Iron Mountain, MI 49801 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245213511 | Judith A Bjork | Nurse Practitioner | 325 East H Street, Oscar G. Johnson Va Medical Center, Iron Mountain, MI 49801-4792 | 2005-11-21 |
| 1770199358 | Laura Frances Kent | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2020-09-19 |
| 1700426384 | Sarah J Petschar | Nurse Practitioner | 1711 S Stephenson Ave Ste 300, Iron Mountain, MI 49801-3650 | 2020-01-10 |
| 1336790492 | Buck J Darley | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-09-20 |
| 1538713474 | Matthew L Turner | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-07-29 |
| 1215593660 | Alicia Katherine Barnes | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2019-05-10 |
| 1427565357 | Jennifer O'keefe | Nurse Practitioner | 325 E H St, Iron Mountain, MI 49801-4760 | 2017-12-31 |
| 1831639467 | Sarah Jean Harris | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2017-03-01 |
| 1811435753 | Jacilyn Meinol | Nurse Practitioner | 325 E H St, Iron Mountain, MI 49801 | 2017-02-10 |
| 1477096865 | Nicole Phillips | Nurse Practitioner | 1707 S Stephenson Ave, Suite 102, Iron Mountain, MI 49801-3667 | 2016-12-02 |
| Find all providers in IRON MOUNTAIN | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
Please comment or provide details below to improve the information on ALYCIA DAVIDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.