Individual
ROBERTA ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
118 NICHOLSON DR, BROCKTON, MA 02302-2251
(617) 970-5543
Mailing address
118 NICHOLSON DR, BROCKTON, MA 02302-2251
(617) 970-5543
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2304314
MA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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