Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ABBY LYNN DAVIS
ActivePediatrics · FRUITLAND, ID
Registration Details
- NPI Number
- 1124758479
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2022 (3.8816008435024 yrs)
- Last Updated
- Jan 9, 2024
- License
-
PA-2612 (ID)
Practice Information
- Address
-
1100 NW 12TH STFRUITLAND, ID, 836195040Browse ID providers · Browse ZIP 83619
- Phone
- 2084526556
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in FRUITLAND, ID
| Name | Credential | NPI |
|---|---|---|
| THEODORE GROSS | — | 1922531508 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.