Individual provider · Type 1 NPI

Melissa La Russo Davis, CPNP

Pediatric Nurse Practitioner · Charlotte, NC

NPI number 1437443090 Active

Practice location

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3372

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5001556 (NC)
Pediatric Nurse Practitioner Primary 363LP0200X5001556 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1437443090

Melissa La Russo Davis, CPNP's National Provider Identifier is 1437443090, issued on Jun 1, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charlotte, NC. The record was last updated on Aug 2, 2024.