MIRIAM A DAVIDSON (NPI# 1932427671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932427671 |
Entity Type | Individual |
Full Name | MIRIAM A DAVIDSON |
Credential | PNP |
Practice Address |
350 City View Dr Ste 302 Evanston WY 82930-5307 |
Mailing Address |
1300 N 17th Ave Greeley CO 80631-9584 |
Practice Telephone | 3077897915 |
Practice Fax Number | 3077897915 |
Mailing Telephone | 9703472120 |
Mailing Fax Number | 9703469800 |
Enumeration Date | 2010-05-05 |
Last Update Date | 2011-12-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
25621.1033RX | WY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | PSYCHIATRIC NURSE PRACTIONNER | 25621.1033RX | 01 |
Street Address |
350 CITY VIEW DR STE 302 |
City | EVANSTON |
State | WY |
Zip Code | 82930-5307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407124373 | Shauna M Ottley | Case Manager/Care Coordinator | 350 City View Dr Ste 302, Evanston, WY 82930-5307 | 2011-12-07 |
1508149709 | Amy Tennant | Community Health Worker | 350 City View Dr Ste 302, Evanston, WY 82930-5307 | 2011-09-23 |
1578857884 | Vicki Vreeland | Case Manager/Care Coordinator | 350 City View Dr Ste 302, Evanston, WY 82930-5307 | 2011-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
Find all providers in zip 82930 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720300981 | Advanced Practice Psychiatric Services, LLC | Nurse Practitioner | 637 Front St, Evanston, WY 82930-3520 | 2010-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511981 | Nurture Mental Health & Wellness Center LLC | Nurse Practitioner | 125 S King St Ste 2a, Jackson, WY 83001-8124 | 2020-09-07 |
1639701899 | A Beautiful Mind LLC | Nurse Practitioner | 145 S Durbin St Ste 207, Casper, WY 82601-2566 | 2020-02-06 |
1932742210 | Timothy Joseph Barnes | Nurse Practitioner | 1617 Evans Ave Apt 1, Cheyenne, WY 82001-4698 | 2019-10-19 |
1639729056 | Sherra Stclair | Nurse Practitioner | 121 E Grand Ave Ste 204, Laramie, WY 82070-3600 | 2019-09-17 |
1295291102 | New Horizons Nichole Taylor Pmhnp-bc | Nurse Practitioner | 2001 W Lakeway Rd Ste C, Gillette, WY 82718-5774 | 2019-02-15 |
1528558004 | Open Range Telepsychiatry LLC | Nurse Practitioner | 30 N Gould St Ste 7141, Sheridan, WY 82801-6362 | 2018-05-10 |
1093117210 | Teecee Ann Hailey-fulfer | Nurse Practitioner | 770 W Collins Dr Ste 200, Casper, WY 82601-2300 | 2014-09-18 |
1831505262 | Advanced Practice, LLC | Nurse Practitioner | 733 Big Horn Ave, Suite 1, Worland, WY 82401-2605 | 2014-07-07 |
1629320775 | Sunlight Psychiatry | Nurse Practitioner | 145 N Bernard St, Powell, WY 82435-2617 | 2012-10-12 |
1750658944 | Jenny M Heuck | Nurse Practitioner | 1400 Pioneer Rd, Sheridan, WY 82801-3334 | 2011-11-16 |
Find all providers with the same taxonomy |
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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.