Individual
ABIGAIL E DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
304 MAIN STREET, CALDWELL, OH 43724-1322
(740) 732-2339
(740) 732-2350
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
COA.13643-NP
OH
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN.333859
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071578
—
OH
05
—
3810024368
—
WV
01
—
P01289248
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
08/31/2012
Last updated
06/11/2021
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