Portia O Davis, FNP
Nurse Practitioner, Family in Latham, NY. Individual provider (NPI-1).
NPI number1497201511
StatusActive
Last updated in NPPESOct 23, 2019
Details
- NPI
- 1497201511
- Entity type
- Individual (NPI-1)
- Name
- Portia O Davis
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2016
- Last updated
- Oct 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F340367 | NY | Yes |
Practice location
1205 Troy Schenectady Rd Ste 101Latham, NY 12110-1074
Phone 518-348-3176
Mailing address
1044 State StSchenectady, NY 12307-1508
Phone 518-370-1441 · Fax 518-395-9431
Other practice locations
1044 State St
Schenectady, NY 12307-1508
Schenectady, NY 12307-1508
Phone 518-370-1441 · Fax 518-395-9431
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