National Provider Identifier

Lori Davis, NP

Lori Davis, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 280-9063.

NPI 1659666097Ithaca, NYFamily Nurse Practitioner

Profile Overview

NPI
1659666097
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
June 14, 2011
Last Updated
October 18, 2021

Practice Location

  • 101 Dates Dr
  • Ithaca, NY 14850-1342

Phone: (607) 280-9063

Mailing Address

  • 317 N Aurora St Ste 200A
  • Ithaca, NY 14850-4201

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Acute Care Nurse Practitioner (363LA2100X)
  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1659666097
Entity Type
Individual
Last Name
Davis
First Name
Lori
Credential
NP
Mailing Street Address
317 N Aurora St Ste 200A
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-4201
Mailing Country
US
Mailing Phone
(607) 269-5519
Practice Street Address
101 Dates Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1342
Practice Country
US
Practice Phone
(607) 280-9063
Enumeration Date
June 14, 2011
Last Updated
October 18, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 14, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Acute Care Nurse Practitioner (363LA2100X), Family Nurse Practitioner (363LF0000X)