Individual provider · Type 1 NPI

Linda Mae Davis, LICENSED NURSE

Licensed Practical Nurse · Fort Drum, NY

NPI number 1912914771 Active

Practice location

11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials
Fort Drum, NY 13602-5438

Call (315) 772-4025 Map

Fax (315) 772-9498

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X088708-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1912914771

Linda Mae Davis, LICENSED NURSE's National Provider Identifier is 1912914771, issued on Aug 2, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 8, 2007.