DEREK DAVIS

CHASKA, MN
NPI1619668373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  10243)
Enumeration Date2023-05-15
Last Update Date2023-06-02
Business Address
DEREK DAVIS PMHNP
1107 HAZELTINE BLVD STE 370
CHASKA, MN 55318-1009
Phone number: 952-395-1441
Mailing Address
DEREK DAVIS PMHNP
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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