Maryellen Ann Davison, RN
Individual provider Active NPI School Registered Nurse · Cleveland, NY
NPI 1881968337 · NPPES record last updated Mar 1, 2012
Key facts
- NPI
- 1881968337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 358624-1 (NY)
- Practice address
- 140 Bridge St
Cleveland, NY 13042-3144 - Phone
- (315) 675-3172
- Fax
- (315) 675-3018
- NPI assigned
- Mar 1, 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 358624-1 | NY | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 358624-1 | NY | Yes |
Addresses
Primary practice location
140 Bridge St
Cleveland, NY 13042-3144
Mailing address
140 Bridge St
Cleveland, NY 13042-3144
Phone (315) 675-3172
Other providers in Cleveland, NY
- Paul L Cote II
- Brittney Renee Fantom
- Syeda Zahra Batool Gardezi
- Jo Ann Elizabeth Marsala-Goettel
- Lisa Lynn Miller
- Kevin Montross
All providers in Cleveland, NY · School Registered 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 Mar 1, 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.