Individual
MS. PATRICIA O. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
80 WILLIAM DONNELLY PARKWAY, WAVERLY, NY 14892
(607) 565-9594
Mailing address
RR 2 BOX 2835, BRACKNEY, PA 18812
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400753
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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