| Provider / Organization | NPI | Date Certified |
|---|---|---|
| THERESE CHRISTINE DAVIS | 1023775327 | 2021-11-21 |
Therese Christine Davis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023775327. Registration indicates Therese Christine Davis is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Ms. Therese Christine Davis CCM RN |
| Practice Office Address | 1501 S CLINTON ST BALTIMORE, MD US |
| Practice Office Telephone | 4107242628 |
| Practice Office Fax | 4105052836 |
| Mailing Address | 1501 S CLINTON ST BALTIMORE, MD 212245730 US |
| Business Telephone | 4107242628 |
| Business Fax | 4105052836 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | RN67877
RI |
| 171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | TLRN060007
PA |
| 171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | 175204
CT |
| 171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | L-0034049
DE |
| 171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | 026.0143760
VT |
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | 4242289
MD |