Individual provider · Type 1 NPI
Mara Davis, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1811659972
Active
Practice location
303 5th Ave
New York, NY 10016-6601
Mailing address
303 5th Ave Rm 1606
New York, NY 10016-6636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403638 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1811659972
Mara Davis, PMHNP-BC's National Provider Identifier is 1811659972, issued on Oct 6, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Oct 13, 2026.