National Provider Identifier
Mary Ruth Davis, LPN
Mary Ruth Davis, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 874-2155.
Profile Overview
- NPI
- 1073772513
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 09, 2008
- Last Updated
- June 09, 2008
Practice Location
- 207 Saranac Ave
- Buffalo, NY 14216-1931
Phone: (716) 874-2155
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1073772513
- Entity Type
- Individual
- Last Name
- Davis
- First Name
- Mary
- Middle Name
- Ruth
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 207 Saranac Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-1931
- Mailing Country
- US
- Mailing Phone
- (716) 874-2155
- Practice Street Address
- 207 Saranac Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-1931
- Practice Country
- US
- Practice Phone
- (716) 874-2155
- Enumeration Date
- June 09, 2008
- Last Updated
- June 09, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 02769657 (NY)