Provider Demographics
NPI:1053681445
Name:DAVIS-MECONI, BARBARA (RN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:DAVIS-MECONI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BROAD STREET
Mailing Address - Street 2:(SRAFFORD MIDDLE SCHOOL)
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-3490
Mailing Address - Country:US
Mailing Address - Phone:518-563-3170
Mailing Address - Fax:518-563-8520
Practice Address - Street 1:15 BROAD STREET
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-3490
Practice Address - Country:US
Practice Address - Phone:518-563-3170
Practice Address - Fax:518-563-8520
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRN#280443163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator