1. Home
  2. Directory
  3. New York
  4. Coram
  5. Licensed Practical Nurse
  6. NPI Profile

MARY ELLEN DAVIS LPN
NPI 1972637262
Licensed Practical Nurse in Coram, NY

Active since March 16, 2007
22 HARFORD DR, CORAM, NY 11727(631) 732-1021(631) 736-5016 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Ellen Davis Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLEN DAVIS LPN (NPI 1972637262) is an individual licensed practical nurse in Coram, New York, licensed in New York (108497-1) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1972637262
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY ELLEN DAVISCredential: LPN
Location Address22 HARFORD DRCoram, NY 11727-2909
Mailing Address22 Harford DrCoram, NY 11727-2909 · (631) 732-1021 · Fax (631) 736-5016
Phone(631) 732-1021
Fax(631) 736-5016
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1972637262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 108497-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
22 HARFORD DR, Coram, NY 11727
Open in Google Maps ↗

Other Names 1

Professional Name (2)Mary Ellen Campbell Lpn

Other Identifiers 1

Medicaid02731708NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellen Davis's NPI number?

The NPI number for Mary Ellen Davis is 1972637262. It was assigned to this individual provider in the NPPES registry on March 16, 2007. The provider is also known as Mary Ellen Campbell Lpn.

Where is Mary Ellen Davis located?

Mary Ellen Davis practices at 22 Harford Dr, Coram, NY 11727. The listed phone number is (631) 732-1021.

What is Mary Ellen Davis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Ellen Davis was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.