Individual provider · Type 1 NPI

Mary Ellen Davis, LPN

Licensed Practical Nurse · Coram, NY

NPI number 1972637262 Active

Practice location

22 Harford Dr
Coram, NY 11727-2909

Call (631) 732-1021 Map

Fax (631) 736-5016

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X108497-1 (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 1972637262

Mary Ellen Davis, LPN's National Provider Identifier is 1972637262, issued on Mar 16, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Coram, NY. The record was last updated on Jul 9, 2007.