Individual
MISS NANCY JANE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
850 HARRISON AVE, YACC 4, BOSTON, MA 02118-4001
(617) 414-2000
(617) 414-5798
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
269530
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000026602
MEDICARE ID
MA
05
—
110074805A
—
MA
Enumeration date
02/08/2007
Last updated
06/12/2014
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