Individual
ELIZABETH MARGARET DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
59 TOWNSEND ST., BOSTON, MA 09119
(617) 989-8400
Mailing address
36 BIGELOW STREET, APT #3, QUINCY, MA 02169-5433
(617) 772-6092
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
204558
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0397521
—
MA
01
—
NP1003
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/12/2006
Last updated
07/08/2007
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