Individual
ANDREW DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(214) 368-9600
Mailing address
PO BOX 13, MAHAFFEY, PA 15757-0013
(814) 482-0007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015826
PA
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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