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MRS. SUSAN M DAVIS ND FNP-BC NPI 1609145234

NPI Profile

NPI: 1609145234

Provider Name: MRS. SUSAN M DAVIS, ND, FNP-BC

Classification: Nurse Practitioner (363LF0000X)

Entity Type: Individual

Specialization: Family

Organization: HOME PSYCH SERVICES, P.C.

Address:
755 E BOUGHTON RD
BOLINGBROOK, IL
ZIP 60440

Phone: (630) 783-2207

MRS. Susan M Davis, ND, FNP-BC is a family nurse practitioner in Bolingbrook, IL with 19 years of experience. MRS. Susan M Davis, ND, FNP-BC NPI is 1609145234. 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:

755 E BOUGHTON RD
BOLINGBROOK, IL
ZIP 60440-250
Phone: (630) 783-2207

The enumeration date for this NPI number is 12/28/2011 and was last updated on 12/28/2011.

Map - Location of Practice

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 363LF0000X Nurse Practitioner Family 209004410 ILLINOIS 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: 5/13/2015