Mary Ellen Davis in Coram - Licensed Practical Nurse
Mary Ellen Davis - NPI 1972637262
Mary Ellen Davis is a Licensed Practical Nurse in Coram, New York. Mary Ellen Davis practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Mary Ellen Davis is 1972637262. The last update date is 2007-07-09.
Mary Ellen Davis's current location address is 22 Harford Dr, Coram, New York. You can contact this provider via phone number 6317321021 and fax number 6317365016. The mailing address for Mary Ellen Davis is 22 Harford Dr, Coram, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Davis |
|---|---|
| Address | 22 Harford Dr, Coram, New York |
| Phone Number | 6317321021 |
| Fax Number | 6317365016 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1972637262 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 22 Harford Dr |
|---|---|
| City | Coram |
| State | New York (NY) |
| Post Code | 117272909 |
| Phone Number | 6317321021 |
| Fax Number | 6317365016 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 108497-1 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2731708 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Ellen Davis by the Centers for Medicare & Medicaid Services?
The Mary Ellen Davis has been assigned the NPI (National Provider Identifier) 1972637262. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Ellen Davis?
The Mary Ellen Davis is physically situated at 22 Harford Dr, in the city of Coram, state of NY, with the postal code 117272909.
What is Mary Ellen Davis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Ellen Davis's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did Mary Ellen Davis receive its 1972637262 assignment from the Centers for Medicare & Medicaid Services?
The Mary Ellen Davis was assigned its 1972637262 on 2007-03-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary Ellen Davis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Ellen Davis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
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