Alisa Davidova, APN
Nurse Practitioner in Englishtown, New Jersey
1639755457- Practice location
- 55 Willow Ln Ste 201, Englishtown, NJ 07726-8434
- Phone
- 732-370-2220
- Fax
- —
- Last updated
- May 31, 2024
Alisa Davidova is a Nurse Practitioner based in Englishtown, NJ. Alisa Davidova practices in Englishtown, NJ and has the professional credentials of APN. The NPI Number for Alisa Davidova is 1639755457 and holds a License No. 26NJ01096100 (NJ). The current practice location address for Alisa Davidova is 55 Willow Ln Ste 201, Englishtown, NJ 07726-8434 and can be reached out via phone at 732-370-2220.
Provider Profile Details
- NPI Number
- 1639755457
- Provider Name
- Alisa Davidova
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Willow Ln Ste 201, Englishtown, NJ 07726-8434
- Phone Number
- 732-370-2220
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 22, 2021
- Last Update Date
- May 31, 2024
- Certification Date
- May 31, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Willow Ln Ste 201
Englishtown, NJ 07726-8434 - City
- Englishtown
- State
- New Jersey
- Zip
- 07726-8434
- Phone Number
- 732-370-2220
Provider Business Mailing Address Details
- Address
- 187 Route 36 Ste 230
West Long Branch, NJ 07764-1306 - City
- West Long Branch
- State
- NJ
- Zip
- 07764-1306
- Phone Number
- 732-222-3805
- Fax Number
- 732-229-2060
License Information
- License Number
- 26NJ01096100
- License State
- NJ
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Alisa Davidova, APN?
The NPI number of Alisa Davidova, APN is 1639755457. It was assigned on March 22, 2021 and is currently active in the NPPES registry.
What is the specialty of Alisa Davidova, APN?
Alisa Davidova, APN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ01096100.
Where does Alisa Davidova, APN practice?
The practice location is 55 Willow Ln Ste 201, Englishtown, NJ 07726-8434. The office can be reached at 732-370-2220 (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 1639755457 directly on the NPPES registry website.