Individual
MRS. LINDA L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
319 S MANNING BLVD STE 106, ALBANY, NY 12208-1743
(518) 438-1019
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
332843
NY
363LF0000X
Family Nurse Practitioner
F332843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02565933
—
NY
Enumeration date
07/04/2006
Last updated
05/11/2021
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