Nadine Davis, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Houtzdale, PA
NPI 1336847136 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1336847136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- SP026983 (PA)
- Practice address
- 209 Institution Drive
Houtzdale, PA 16651 - Phone
- (814) 378-1000
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP026983 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP026983 | PA | Yes |
Addresses
Primary practice location
209 Institution Drive
Houtzdale, PA 16651
Mailing address
128 Clearfield St
Clearfield, PA 16830-1521
Phone (814) 496-7403
Other providers in Houtzdale, PA
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- Pierre Boumerhi
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- Kelly Jo Marie Dotts
- Jodi K Forcey Porter
- Gathagan Investment Company LP
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- Mary E Green
All providers in Houtzdale, PA · Psychiatric/Mental Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.