Individual
ANDRIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3852
(315) 738-3800
Mailing address
1400 NOYES ST, UTICA, NY 13502-3852
(315) 738-3800
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
750900
NY
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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