Mary Winifred Davis-Pranke, NP

Nurse Practitioner · Evans, CO

Individual Active NPI

NPI number 1457760803

Practice location

1400 37TH St
Evans, CO 80620-1906
Phone
(970) 348-1112
Fax
(970) 348-1134

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NPI record

NPI
1457760803
Entity type
Individual (Type 1)
Enumeration date
August 11, 2014
Last updated
February 9, 2024
Certified
February 9, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 010221 CO
Pediatrics Physician 208000000X 8244555-4405 UT

Mailing address

2930 11TH Ave
Evans, CO 80620-1011
Phone
(970) 353-9403
Fax
(970) 350-4645

Other practice locations (1)

  • 9071 S 1300 W, Suite 301, West Jordan, UT 84088-6672 · (801) 565-1162

About Mary Davis-Pranke

Mary Winifred Davis-Pranke, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1400 37TH St, Evans, CO 80620-1906. The NPI number 1457760803 was assigned on August 11, 2014 and the record was last updated on February 9, 2024.

Mary Davis-Pranke lists 2 licenses in the registry: #010221 (CO) for Nurse Practitioner; #8244555-4405 (UT) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Winifred Davis-Pranke, NP?

The NPI number is 1457760803.

What is the phone number of Mary Davis-Pranke?

The phone number listed for the practice location is (970) 348-1112.

Where is Mary Davis-Pranke located?

1400 37TH St, Evans, CO 80620-1906.

What is the taxonomy code for Mary Davis-Pranke?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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