Individual
CHRISTINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-5494
Mailing address
2604 ROCKWOOD DR, RALEIGH, NC 27610-5216
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404535
NY
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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