Individual provider · Type 1 NPI
Tamara Davydova, FNP-BC, WCC, OMS
Family Nurse Practitioner · Flushing, NY
NPI number
1093506958
Active
Practice location
14404 69th Rd
Flushing, NY 11367-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 620695 (NY) |
| Ostomy Care Registered Nurse | 163WX1500X | 620695 (NY) |
| Primary Care Nurse Practitioner | 363LP2300X | F355879-07 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F355879-07 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1093506958
Tamara Davydova, FNP-BC, WCC, OMS's National Provider Identifier is 1093506958, issued on May 13, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Flushing, NY. The record was last updated on Jun 10, 2025.