Mary Elaine Davia, CRNP
Individual provider Active NPI Family Nurse Practitioner · Marriottsville, MD
NPI 1750367140 · NPPES record last updated Apr 28, 2011
Key facts
- NPI
- 1750367140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R043216 (MD)
- Practice address
- 1515A Marriottsville Rd
Marriottsville, MD 21104-1301 - Phone
- (410) 442-2079
- NPI assigned
- Dec 19, 2005
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R043216 | MD | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R043216 | MD | Yes |
Addresses
Primary practice location
1515A Marriottsville Rd
Marriottsville, MD 21104-1301
Mailing address
1515A Marriottsville Rd
Marriottsville, MD 21104-1301
Phone (410) 442-2079
Other providers in Marriottsville, MD
- Centers for Advanced Orthopaedics, LLC
- Charter Internal Medicine, LLC
- Christina Ann Clagett
- Linda Sorace Crites
- Jasmin Lorraine Crossfield
- Madelyn Marie Dickman
- Eagle Pharmacy Inc
- Jonathan Scott Fish
- Kathleen Flowers Fox
- Joelle L Frizzera
All providers in Marriottsville, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2011. 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.