Provider Demographics
NPI:1851440457
Name:DAVIS, SHEILA M (ANP)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:M
Last Name:DAVIS
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
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Mailing Address - Street 1:173 DAVIS AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6026
Mailing Address - Country:US
Mailing Address - Phone:617-731-7751
Mailing Address - Fax:617-726-7653
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:COX 5
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-3906
Practice Address - Fax:617-726-7653
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA186293363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health