Individual
MARVARINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
37 ELMWOOD AVE, MONTCLAIR, NJ 07042-4531
(862) 703-0645
Mailing address
37 ELMWOOD AVE, MONTCLAIR, NJ 07042-4531
(862) 703-0645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11844000
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01291400
NJ
Other
Enumeration date
06/24/2019
Last updated
04/26/2024
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