Individual
GWEN ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC; PMHNP-BC
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
LG-0012517
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-001040457
DE
Other
Enumeration date
07/11/2013
Last updated
01/24/2024
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