Individual
MARY E. DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4400 UNIVERSITY DR, MS 2D3, FAIRFAX, VA 22030-4422
(703) 993-2842
(703) 993-4365
Mailing address
5226 NOTTINGHILL LN, FAIRFAX, VA 22032-2622
(703) 426-9393
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024107203
VA
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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