MIMI LEA DAVIDSON NP
NPI 1790539286
Nurse Practitioner - Family in Centennial, CO

Active since April 12, 2024
8223 S. QUEBEC ST., SUIITE C, CENTENNIAL, CO 80112(303) 324-8789 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, Apr 12, 2024 (2 updates tracked since 2024).

About Mimi Lea Davidson Np NPPES

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

MIMI LEA DAVIDSON NP (NPI 1790539286) is an individual family provider in Centennial, Colorado, licensed in North Carolina (F10230912) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1790539286
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIMI LEA DAVIDSONCredential: NP
Location Address8223 S. QUEBEC ST., SUIITE CCentennial, CO 80112
Mailing Address8223 S. Quebec St., Suiite CCentennial, CO 80112
Sole ProprietorNo
Enumeration DateApril 12, 2024
Last NPPES UpdateApril 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
NPI 1790539286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · F10230912
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 229329 (NC)
8223 S. QUEBEC ST., Centennial, CO 80112

Other Names 1

Professional Name (2)Lea Davidson Np

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 Mimi Lea Davidson's NPI number?

The NPI number for Mimi Lea Davidson is 1790539286. It was assigned to this individual provider in the NPPES registry on April 12, 2024. The provider is also known as Lea Davidson Np.

Where is Mimi Lea Davidson located?

Mimi Lea Davidson practices at 8223 S. Quebec St. Suiite C, Centennial, CO 80112. The listed phone number is (303) 324-8789.

What is Mimi Lea Davidson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mimi Lea Davidson was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.