Provider Demographics
NPI:1437406998
Name:DAVIS, LAURA E (CNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:E
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:E
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5030 TOWNSHIP ROAD 21
Mailing Address - Street 2:
Mailing Address - City:MARENGO
Mailing Address - State:OH
Mailing Address - Zip Code:43334-9707
Mailing Address - Country:US
Mailing Address - Phone:614-499-4076
Mailing Address - Fax:
Practice Address - Street 1:3454 OAK ALLEY CT STE 209
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1370
Practice Address - Country:US
Practice Address - Phone:567-331-2278
Practice Address - Fax:419-912-5463
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2025-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13688-NP363LP0808X
OHRN.266842163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2012011869OtherANCC
OHCOA.13688-NPOtherCNP
OHRN.266842-COA1OtherREGISTERED NURSE