Active NPIIndividual providerSole proprietor

Deirdre A Davis, CRNA

Nurse Anesthetist, Certified Registered in Manahawkin, New Jersey

NPI Number1003812819
Practice location
1140 Route 72 W, Manahawkin, NJ 08050
Fax
—
Last updated
February 22, 2019

Deirdre A Davis is a Nurse Anesthetist, Certified Registered based in Manahawkin, NJ. Deirdre A Davis practices in Manahawkin, NJ and has the professional credentials of CRNA. The NPI Number for Deirdre A Davis is 1003812819 and holds a License No. 356194 (NY). The current practice location address for Deirdre A Davis is 1140 Route 72 W, Manahawkin, NJ 08050 and can be reached out via phone at 609-597-6011.

Provider Profile Details

NPI Number
1003812819
Provider Name
Deirdre A Davis
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
1140 Route 72 W, Manahawkin, NJ 08050
Phone Number
609-597-6011
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
June 27, 2005
Last Update Date
February 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1140 Route 72 W
Manahawkin, NJ 08050
Zip
08050
Phone Number
609-597-6011
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
Po Box 307
Neptune, NJ 07754-0307
City
Neptune
State
NJ
Zip
07754-0307
Fax Number
732-897-0263

License Information

License Number (1)
356194
License State (1)
NY
Taxonomy (1)
Specialist · 174400000X
License Number (2)
356194-1
License State (2)
NY
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
26NJ00224100
License State (3)
NJ
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Deirdre A Davis, CRNA?

The NPI number of Deirdre A Davis, CRNA is 1003812819. It was assigned on June 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Deirdre A Davis, CRNA?

Deirdre A Davis, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NY under license number 356194.

Where does Deirdre A Davis, CRNA practice?

The practice location is 1140 Route 72 W, Manahawkin, NJ 08050. The office can be reached at 609-597-6011 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003812819 directly on the NPPES registry website.

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