Individual
ANN MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MSN
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 827-5000
Mailing address
19250 BAGLEY RD, #101, CLEVELAND, OH 44130-3314
(440) 891-8800
(440) 891-1734
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN179079
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000241416
ANTHEM BCBS
OH
05
—
0768423
—
OH
01
—
430075902
RAILROAD MEDICARE
OH
Enumeration date
08/25/2005
Last updated
11/18/2009
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