ELLEN CLARK DAVIES NP NPI 1134579972

NPI Information

NPI: 1134579972
Provider Name: ELLEN CLARK DAVIES, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
17 E 102ND ST FL 3
NEW YORK, NY
ZIP 10029
Phone: (212) 241-7968
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Ellen Clark Davies, NP is a family nurse practitioner in New York, NY. Ellen Clark Davies, NP NPI is 1134579972. 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:

17 E 102ND ST FL 3
NEW YORK, NY
ZIP 10029
Phone: (212) 241-7968
Fax: (212) 824-2312

The enumeration date for this NPI number is 6/13/2016 and was last updated on 10/10/2019.

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	341606	NEW YORK	Yes
2	163W00000X	Registered Nurse		623297	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05691387	MEDICAID	NEW YORK

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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