Individual provider · Type 1 NPI
Charlene T. Davis, CPNP
Pediatric Nurse Practitioner · Baltimore, MD
NPI number
1336297084
Active
Practice location
707 N Broadway
Baltimore, MD 21205-1832
Fax (443) 923-9405
Mailing address
2931 E Biddle St, Patient Accouting
Baltimore, MD 21213-3939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R045095 (MD) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1336297084
Charlene T. Davis, CPNP's National Provider Identifier is 1336297084, issued on Jan 8, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.