Kathleen Rose Davidson, RNCS
Nurse Practitioner, Psych/Mental Health in Waltham, MA. Individual provider (NPI-1).
NPI number1366554149
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1366554149
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Rose Davidson
- Credential
- RNCS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 117767 PC | MA | Yes |
Practice location
20 Hope AveSuite G05
Waltham, MA 02453-2721
Phone 781-893-8762 · Fax 781-899-6386
Mailing address
351 Manning StNeedham, MA 02492-3442
Phone 781-444-1087
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