Individual
ELIZABETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CLC
Contact information
Practice address
900 WARREN AVE STE 101, EAST PROVIDENCE, RI 02914-1430
(401) 569-8065
(401) 919-5204
Mailing address
900 WARREN AVE, EAST PROVIDENCE, RI 02914-1430
(401) 606-3000
(401) 919-5204
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
326198
MA
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
52972
RI
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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