Individual
MARY C MCLAUGHLIN DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.N.S
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Mailing address
PO BOX 74216, CLEVELAND, OH 44194-0002
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
NS-06831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362195
ANTHEM
OH
05
—
2565719
—
OH
Enumeration date
04/10/2006
Last updated
07/08/2007
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