Individual
MARY ELAINE DAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1515A MARRIOTTSVILLE RD, MARRIOTTSVILLE, MD 21104-1301
(410) 442-2079
Mailing address
1515A MARRIOTTSVILLE RD, MARRIOTTSVILLE, MD 21104-1301
(410) 442-2079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R043216
MD
Other
Enumeration date
12/19/2005
Last updated
04/28/2011
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