Individual
ANDREA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC.
Contact information
Practice address
382 THAYER ST, PROVIDENCE, RI 02906-1558
(401) 401-6487
(401) 648-0161
Mailing address
118 WARWICK AVE APT 1, CRANSTON, RI 02905-3563
(401) 228-4291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN55756
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN03752
RI
Other
Enumeration date
05/24/2017
Last updated
04/24/2024
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