MS. NICOLE M DAVIS (NPI# 1710489034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710489034 |
| Entity Type | Individual |
| Full Name | MS. NICOLE M DAVIS |
| Credential | FNP-BC |
| Practice Address |
5102 W Campbell Ave Phoenix AZ 85031-1703 |
| Mailing Address |
6178 Dexter St Romulus MI 48174-1830 |
| Practice Telephone | 6023445011 |
| Mailing Telephone | 7347494000 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704308961 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
226470 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704308961 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6178 Dexter St, Romulus, MI 481741830 | 7347494000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747524 | Nicole C Davis | Licensed Vocational Nurse | 2316 Tierra Chica Way, El Paso, TX 79938-4429 | 2019-12-15 |
| 1396210605 | Nicole Joy Davis | Registered Nurse | 2970 Pawnee Ct, Redding, CA 96001-3482 | 2018-10-12 |
| 1972086957 | Nicole Lynne Davis | Social Worker | 4507 N Ravenswood Ave Ste 111, Chicago, IL 60640-5218 | 2018-09-14 |
| 1881103935 | Nicole Davis | Physical Therapy Assistant | 1949 W Ray Rd Ste 23, Chandler, AZ 85224-4008 | 2017-09-21 |
| 1215471545 | Nicole Davis | Specialist/Technologist | 404 Juniper Dr, West Mifflin, PA 15122-1236 | 2016-12-05 |
| 1679932321 | Nicole Davis | Nurse Practitioner | 5206 W Village Pkwy Ste 10, Rogers, AR 72758-8137 | 2016-02-22 |
| 1851777619 | Nicole Davis | Nurse Practitioner | 1301 E 47th St # 2, Chicago, IL 60653-4507 | 2015-08-04 |
| 1386915627 | Nicole Elaine Davis | Pharmacist | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2012-01-18 |
| 1154656023 | Nicole Patrich Davis | Counselor | 1862 Princeton Ave # 206, College Park, GA 30337-3519 | 2009-10-12 |
| 1518107648 | Nicole Jeanette Davis | Occupational Therapist | 11310 Horton Rd, Goodrich, MI 48438-9497 | 2009-03-02 |
| Street Address |
5102 W CAMPBELL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85031-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332084 | Gregory L Bandy | Emergency Medicine | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2005-11-02 |
| 1669936472 | Maricopa County Special Health Care District | Pharmacy | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2019-01-25 |
| 1205344066 | Pai-han Arthur Yeh | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2018-01-15 |
| 1568997757 | Casey Anna Fuller | Registered Nurse | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2017-04-25 |
| 1083156319 | Amanda Horton | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-11-17 |
| 1417301490 | Chad Van Pelt | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-15 |
| 1962856088 | Jacob Demenna | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-14 |
| 1346603578 | Michelle Vita Sipe | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-04 |
| 1164817854 | Zhi Yuan Wu | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2015-03-31 |
| 1306251004 | Jessica Ellis | Physician Assistant | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
| 1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
| 1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
| 1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
| 1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
| 1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
| Find all providers in zip 85031 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713148 | Alexis Petra Md | Nurse Practitioner | 21835 N 51st St, Phoenix, AZ 85054-7140 | 2020-06-02 |
| 1326675166 | Kendrick Wright | Nurse Practitioner | 2727 E Camelback Rd Apt 525, Phoenix, AZ 85016-4481 | 2020-03-23 |
| 1518591510 | Laura Larson | Nurse Practitioner | 1929 W Fillmore St Bldg C, Phoenix, AZ 85009-3812 | 2020-02-27 |
| 1538709415 | Bertha Nambuye Mbatau | Nurse Practitioner | 2332 W Calle Marita, Phoenix, AZ 85085-7064 | 2020-01-08 |
| 1790346443 | Elena Nickolaevna Klimova | Nurse Practitioner | 2218 E Wahalla Ln, Phoenix, AZ 85024-1231 | 2019-06-24 |
| 1306341748 | Kerry L Oliver | Nurse Practitioner | 12010 S Warner Elliot Loop Ste 1, Phoenix, AZ 85044-2731 | 2018-03-28 |
| 1891294583 | Helena Taboy | Nurse Practitioner | 34975 N North Valley Pkwy Ste 138, Phoenix, AZ 85086-4030 | 2018-02-07 |
| 1528431152 | Judith Harmon | Nurse Practitioner | 12413 N 41st Pl, Phoenix, AZ 85032-7439 | 2015-11-04 |
| 1669865408 | Sj Medical Group | Nurse Practitioner | 4622 N 35th Ave, Phoenix, AZ 85017-3403 | 2015-03-17 |
| 1386032753 | Abcore Medical Group | Nurse Practitioner | 2023 W Bethany Home Rd, Phoenix, AZ 85015-2444 | 2015-01-07 |
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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.