Individual
NICHELLE M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4209 28TH ST, LONG ISLAND CITY, NY 11101-4130
(347) 396-4697
(347) 396-8951
Mailing address
4209 28TH ST, 11-157, LONG ISLAND CITY, NY 11101-4130
(347) 396-4697
(347) 396-8951
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
453725-1
NY
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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