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Charlene T Davis, CPNP
Pediatric Nurse Practitioner in Baltimore, Maryland
NPI 1336297084

Charlene T Davis is a Pediatric Nurse Practitioner based in Baltimore, MD and is specialized in Pediatrics. Charlene T Davis practices in Baltimore, MD and has the professional credentials of CPNP. The NPI Number for Charlene T Davis is 1336297084 and holds a License No. R045095 (Maryland).

The current practice location address for Charlene T Davis is 707 N Broadway, Baltimore, MD and can be reached out via phone at 443-923-9200 and via fax at 443-923-9405.

Location: 707 N Broadway, Baltimore, MD, 21213-3939
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Provider Profile Details
NPI Number
1336297084
Provider Name
Charlene T Davis
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
707 N Broadway, Baltimore, MD, 21213-3939
Phone Number
443-923-9200
Fax Number
443-923-9405
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54288001 01 MD CARE FIRST BC BS
248209600 05 MD
institution
Provider Business Practice Location Address Details
Address
707 N Broadway
City
State
Zip
21205-1832
Phone Number
443-923-9200
Fax Number
443-923-9405
person
Provider Business Mailing Address Details
Address
707 N Broadway
City
State
Zip
21205-1832
Phone Number
443-923-9200
Fax Number
443-923-9405
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R045095 (Maryland)
Definition
Definition to come...
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