Provider Demographics
NPI:1043379324
Name:DAVIS, HARRIET ELIZABETH (CRNP)
Entity Type:Individual
Prefix:MS
First Name:HARRIET
Middle Name:ELIZABETH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:HARRIET
Other - Middle Name:ELIZABETH
Other - Last Name:CLOWES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:P.O. BOX 211
Mailing Address - Street 2:132 MECHANIC ST
Mailing Address - City:SPARTANSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16434
Mailing Address - Country:US
Mailing Address - Phone:814-654-7334
Mailing Address - Fax:814-654-7553
Practice Address - Street 1:35255 BROWN HILL RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:PA
Practice Address - Zip Code:16438-2919
Practice Address - Country:US
Practice Address - Phone:814-694-2339
Practice Address - Fax:814-694-2176
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007126207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q67998Medicare UPIN
PA100347L5BMedicare PIN