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Individual

MS. SALLY MILLER DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
250 WAMPANOAG TRAIL, SUITE 305, RIVERSIDE, RI 02915
(401) 270-4541
(401) 270-4081
Mailing address
250 WAMPANOAG TRAIL, SUITE 305, RIVERSIDE, RI 02915
(401) 270-4541
(401) 270-4081

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN01050
RI

Other

Enumeration date
01/08/2007
Last updated
06/18/2019
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