DAVINA CREARY-WALTERS NP NPI 1538835921

NPI Information

NPI: 1538835921
Provider Name: DAVINA CREARY-WALTERS, NP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
3400 SPRUCE ST.
2 SILVERSTEIN BUILDING
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2982
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Davina Creary-walters, NP is an obstetrics and gynecology nurse practitioner in Philadelphia, PA. Davina Creary-walters, NP NPI is 1538835921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 SPRUCE ST.
2 SILVERSTEIN BUILDING
PHILADELPHIA, PA
ZIP 19104-238
Phone: (215) 662-2982
Fax: (215) 662-7400

The NPI 1538835921 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2021 and was last updated on 12/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	26NR19707000	NEW JERSEY	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	25NJ01154700	NEW JERSEY	No
3	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	SP021906	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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