Individual
CAROL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 CATON AVE, ANESTHESIA DEPARTMENT, BALTIMORE, MD 21229-5201
(410) 368-3045
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R096571
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
778300100
—
MD
Enumeration date
07/08/2005
Last updated
10/19/2016
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