THERESA DAVIS NP NPI 1528466976

NPI Information

  • NPI: 1528466976
  • Provider Name: THERESA DAVIS, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 444 12TH ST # 1D2D
    BROOKLYN, NY
    ZIP 11215
  • Phone: (718) 965-4101

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NPI Details

Theresa Davis, NP is an adult health nurse practitioner in Brooklyn, NY. Theresa Davis, NP NPI is 1528466976. 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:

444 12TH ST # 1D2D
BROOKLYN, NY
ZIP 11215-208
Phone: (718) 965-4101

The enumeration date for this NPI number is 12/17/2014 and was last updated on 12/17/2014.

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
1363LA2200XNurse PractitionerAdult HealthF304063NEW YORKYes

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
11538301528MEDICARE UPIN

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: 11/21/2025

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