Davidson, Mary Rita

Davidson, Mary Rita is an individual health care provider with primary practice located at 326 Taylor Dr , Danville VA 24541-4023. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davidson, Mary Rita can be contacted via phone (434) 766-9844.

Contact Information

Primary practice address
326 Taylor Dr Danville VA 24541-4023
Phone: (434) 766-9844
Fax: (434) 791-5342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 0001181955 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024167128 Virginia

Profile Details

NPI number 1639467525
LBN Legal business name Davidson, Mary Rita
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2011
Last updated Jul 13th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639467525 NPPES
Virginia MEDICAID 1770653537

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