Emma Davis

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Saint Peter, MN

NPI 1073147187 · NPPES record last updated Feb 27, 2020

Key facts

NPI
1073147187
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
800 W College Ave
Saint Peter, MN 56082-1485
Phone
(218) 391-3407
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Gustavus Adolphus College Past
since Mar 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

800 W College Ave
Saint Peter, MN 56082-1485

Mailing address

3431 E 2ND St
Duluth, MN 55804-1808
Phone (218) 391-3407

Other providers in Saint Peter, MN

All providers in Saint Peter, MN · Student in an Organized Health Care Education/Training Program in Minnesota

Sources for this page

Verify at the official NPI Registry.