Doctor Name: | MRS. SARAH LORENE DAVIS |
NPI Number: | 1083932487 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CNP |
License Number: | R193896-4 |
Business Practice Address: | 1900 Sunrise Dr Saint Peter, MN - 560825802 |
Business Phone Number: | 5079312200 |
Business Fax Number: | |
Mailing Address: | 1900 Sunrise Dr, SAINT PETER |
State: | MN |
Postal Code: | 560825802 |
Phone Number: | 5079312200 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2010 |
NPI Last Update Date: | 02/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R193896-4 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |