Mara Davidson, ND
Naturopath in Southport, Connecticut
1861854127- Practice location
- 107 John St Ste 3A, Southport, CT 06890-1466
- Phone
- 203-751-3775
- Fax
- —
- Last updated
- April 22, 2020
Mara Davidson is a Naturopath based in Southport, CT. Mara Davidson practices in Southport, CT and has the professional credentials of ND. The NPI Number for Mara Davidson is 1861854127 and holds a License No. 000541 (CT). The current practice location address for Mara Davidson is 107 John St Ste 3A, Southport, CT 06890-1466 and can be reached out via phone at 203-751-3775.
Provider Profile Details
- NPI Number
- 1861854127
- Provider Name
- Mara Davidson
- Credential
- ND
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 107 John St Ste 3A, Southport, CT 06890-1466
- Phone Number
- 203-751-3775
- Primary Taxonomy
- Naturopath · 175F00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 25, 2016
- Last Update Date
- April 22, 2020
- Certification Date
- April 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 107 John St Ste 3A
Southport, CT 06890-1466 - City
- Southport
- State
- Connecticut
- Zip
- 06890-1466
- Phone Number
- 203-751-3775
Provider Business Mailing Address Details
- Address
- 107 John St Ste 3A
Southport, CT 06890-1466 - City
- Southport
- State
- CT
- Zip
- 06890-1466
- Phone Number
- 203-751-3775
License Information
- License Number
- 000541
- License State
- CT
- Taxonomy
- Naturopath · 175F00000X · 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 Mara Davidson, ND?
The NPI number of Mara Davidson, ND is 1861854127. It was assigned on March 25, 2016 and is currently active in the NPPES registry.
What is the specialty of Mara Davidson, ND?
Mara Davidson, ND is registered under the primary taxonomy Naturopath (code 175F00000X), licensed in CT under license number 000541.
Where does Mara Davidson, ND practice?
The practice location is 107 John St Ste 3A, Southport, CT 06890-1466. The office can be reached at 203-751-3775 (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 1861854127 directly on the NPPES registry website.