Individual
LAURIE FRANCIS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10290 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-3670
(410) 465-8503
(410) 465-8570
Mailing address
PO BOX 6290, ELLICOTT CITY, MD 21042-0290
(410) 465-8503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
PENDING
MD
363LF0000X
Family Nurse Practitioner
Primary
R188535
MD
Other
Enumeration date
12/10/2021
Last updated
05/02/2022
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