Individual provider · Type 1 NPI
Maxine May Davis, EDD
Gerontology Nurse Practitioner · Irving, TX
NPI number
1093073769
Active
Practice location
3050 Regent Blvd Suite 400, Emsi Network Development
Irving, TX 75063
Mailing address
3050 Regent Blvd. Suite 400, Emsi Network Development
Irving, TX 75063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ00097000 (NJ) |
| Gerontology Nurse Practitioner | 363LG0600X | SP013730 (PA) |
| Gerontology Nurse Practitioner | 363LG0600X | F340960-1 (NY) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1093073769
Maxine May Davis, EDD's National Provider Identifier is 1093073769, issued on May 1, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Irving, TX. The record was last updated on Jul 6, 2016.