Davis, Maryanne

Davis, Maryanne is an individual health care provider with primary practice located at 920 Oliver Rd , Monroe LA 71201-5702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davis, Maryanne can be contacted via phone (318) 807-6263.

Contact Information

Primary practice address
920 Oliver Rd Monroe LA 71201-5702
Phone: (318) 807-6263
Fax: (318) 812-7348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP03438 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP03438 Louisiana

Profile Details

NPI number 1639293830
LBN Legal business name Davis, Maryanne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jun 11th, 2019 - about 5 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 1639293830 NPPES
Louisiana MEDICAID 1439916

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