Paula J Davis
Individual provider Active NPI Licensed Practical Nurse · Chittenango, NY
NPI 1548522246 · NPPES record last updated Jun 9, 2012
Key facts
- NPI
- 1548522246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 275851 (NY)
- Practice address
- 715 Forbes Ave
Chittenango, NY 13037-1115 - Phone
- (315) 663-6263
- NPI assigned
- Jun 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 275851 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 275851 | NY | Yes |
Addresses
Primary practice location
715 Forbes Ave
Chittenango, NY 13037-1115
Mailing address
715 Forbes Ave
Chittenango, NY 13037-1115
Phone (315) 663-6263
Other providers in Chittenango, NY
- Chittenango Physical Therapy, P.C.
- Suzanne R Cuomo
- Patricia Marie Damon
- Anne Daprano
- Amanda Elizabeth Davis
- Alyne De Souza Stedman
- Peter J Demlein
- Eileen Deppoliti
- Joseph F. Desantis
- Jessica Dlugolecki
All providers in Chittenango, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2012. 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.