Individual
NICOLE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 SEYMOUR ST, SUITE 709, HARTFORD, CT 06106-5501
(860) 696-2290
(860) 696-2280
Mailing address
85 SEYMOUR ST, SUITE 709, HARTFORD, CT 06106-5501
(860) 696-2290
(860) 696-2280
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003411
CT
Other
Enumeration date
08/06/2013
Last updated
02/21/2017
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