BETHANN H DAVIS NP NPI 1871563361

NPI Information

  • NPI: 1871563361
  • Provider Name: BETHANN H DAVIS, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 759 GRANITE ST
    SOUTH SHORE HEALTH CENTER
    BRAINTREE, MA
    ZIP 02184
  • Phone: (781) 848-1950

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NPI Details

Bethann H Davis, NP is an adult health nurse practitioner in Braintree, MA. Bethann H Davis, NP NPI is 1871563361. 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:

759 GRANITE ST
SOUTH SHORE HEALTH CENTER
BRAINTREE, MA
ZIP 02184
Phone: (781) 848-1950
Fax: (781) 356-4887

The enumeration date for this NPI number is 1/25/2006 and was last updated on 10/29/2007.

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 Health194673MASSACHUSETTSYes

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
1P21187MEDICARE UPINMASSACHUSETTS
2NP2948MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
3NP9770OTHERMASSACHUSETTSBCBSMA

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: 3/30/2025

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