Individual
EMILY M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1068 UNION ST, BANGOR, ME 04401-3016
(207) 947-0147
(207) 990-3365
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN59717
ME
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP121096
ME
Other
Enumeration date
09/11/2012
Last updated
10/08/2012
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