CONNIE L. DAVIS
NPI 1043395841
Internal Medicine - Nephrology in Mount Vernon, WA

Q: What is Connie Davis's NPI number?

The NPI number for Connie Davis is 1043395841. It was assigned to this individual provider in the NPPES registry on October 27, 2006. The provider is also known as Connie L. Dyberg.

Q: What is Connie Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Connie Davis was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2006

208 HOSPITAL PARKWAY, MOUNT VERNON, WA 98274(360) 428-8260(360) 428-8576 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Connie L. Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE L. DAVIS (NPI 1043395841) is an individual nephrology provider in Mount Vernon, Washington, licensed in Washington (MD00025078) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1043395841

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameCONNIE L. DAVIS

Location Address208 HOSPITAL PARKWAYMount Vernon, WA 98274

Mailing Address1400 E. Kincaid Street, Attn: CredentialingMount Vernon, WA 98274-4127 · (360) 428-2500 · Fax (360) 428-6485

Phone(360) 428-8260

Fax(360) 428-8576

Sole ProprietorNo

Enumeration DateOctober 27, 2006

Last NPPES UpdateMarch 13, 2015

✔ NPI 1043395841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in WA · MD00025078

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

208 HOSPITAL PARKWAY, Mount Vernon, WA 98274

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Other Names 1

Former Name (1)Connie L. Dyberg

Other Identifiers 4

Medicare UPINA06450

Medicare ID-Type Unspecified107514

Other9149Internal Id-motor Vehicle Id

Medicaid8303687WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Davis's NPI number?

The NPI number for Connie Davis is 1043395841. It was assigned to this individual provider in the NPPES registry on October 27, 2006. The provider is also known as Connie L. Dyberg.

Where is Connie Davis located?

Connie Davis practices at 208 Hospital Parkway, Mount Vernon, WA 98274. The listed phone number is (360) 428-8260.

What is Connie Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Connie Davis was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.