Individual provider · Type 1 NPI
Heidi L. Davis, CPNP
Pediatric Nurse Practitioner · Succasunna, NJ
NPI number
1649324740
Active
Practice location
151 State Route 10 E, Ste 105
Succasunna, NJ 07876-1452
Fax (973) 584-7107
Mailing address
50 Hillcrest Ave
Montvale, NJ 07645-2228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 26NJ00065300 (NJ) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in Succasunna
About NPI 1649324740
Heidi L. Davis, CPNP's National Provider Identifier is 1649324740, issued on Jan 23, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Succasunna, NJ. The record was last updated on Jul 8, 2007.