Individual
MS. ELLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
425 JACK MARTIN BLVD, OCEAN MEDICAL CENTER EMERGENCY DEPT, BRICK, NJ 08724-7732
(732) 840-3346
Mailing address
727 N BEERS ST, OCEAN MEDICAL CENTER EMERGENCY DEPT, HOLMDEL, NJ 07733-1514
(732) 840-3346
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00154400
NJ
363LA2100X
Acute Care Nurse Practitioner
F430186
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02782718
—
NY
05
—
60043620
—
NJ
Enumeration date
07/11/2006
Last updated
02/02/2016
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