Active NPIIndividual provider

Andrea Davis, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Providence, Rhode Island

NPI Number1093243891
Practice location
382 Thayer St, Providence, RI 02906-1558
Fax
401-648-0161
Last updated
April 24, 2024

Andrea Davis is a Nurse Practitioner, Psych/Mental Health based in Providence, RI. Andrea Davis practices in Providence, RI and has the professional credentials of PMHNP-BC. The NPI Number for Andrea Davis is 1093243891 and holds a License No. RN55756 (RI). The current practice location address for Andrea Davis is 382 Thayer St, Providence, RI 02906-1558 and can be reached out via phone at 401-401-6487 and via fax at 401-648-0161.

Provider Profile Details

NPI Number
1093243891
Provider Name
Andrea Davis
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
382 Thayer St, Providence, RI 02906-1558
Phone Number
401-401-6487
Fax Number
401-648-0161
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2017
Last Update Date
April 24, 2024
Certification Date
December 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
382 Thayer St
Providence, RI 02906-1558
Zip
02906-1558
Phone Number
401-401-6487
Fax Number
401-648-0161
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
118 Warwick Ave Apt 1
Cranston, RI 02905-3563
City
Cranston
State
RI
Zip
02905-3563
Phone Number
401-228-4291

License Information

License Number (1)
RN55756
License State (1)
RI
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
APRN03752
License State (2)
RI
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Andrea Davis, PMHNP-BC?

The NPI number of Andrea Davis, PMHNP-BC is 1093243891. It was assigned on May 24, 2017 and is currently active in the NPPES registry.

What is the specialty of Andrea Davis, PMHNP-BC?

Andrea Davis, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in RI under license number RN55756.

Where does Andrea Davis, PMHNP-BC practice?

The practice location is 382 Thayer St, Providence, RI 02906-1558. The office can be reached at 401-401-6487 (phone) or 401-648-0161 (fax).

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 1093243891 directly on the NPPES registry website.

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