Individual
MISS MARY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
320 EXECUTIVE DR, MARION, OH 43302-6310
(740) 387-5210
(740) 382-3713
Mailing address
320 EXECUTIVE DR, MARION, OH 43302-6310
(740) 387-5210
(740) 382-3713
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.13747-NP
OH
Other
Enumeration date
08/30/2012
Last updated
12/08/2017
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