Individual provider · Type 1 NPI

Lisa R. Davidavage, CRNP

Acute Care Nurse Practitioner · Reading, PA

NPI number 1710277686 Active

Practice location

2500 Bernville Rd
Reading, PA 19605-9453

Fax (610) 378-2799

Other practice locations

  • 1201 Keystone Blvd, Pottsville, PA 17901-8982 · (570) 544-1633

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XSP011092 (PA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1710277686

Lisa R. Davidavage, CRNP's National Provider Identifier is 1710277686, issued on Apr 13, 2011. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Reading, PA. The record was last updated on Feb 18, 2022.