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Contact Information

LIDIA E DAVILA, CRNP
1417 MADISON PARK DR
GLEN BURNIE, MD21061-5613
 Phone: 410-768-6600
 Fax: 410-768-3132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LIDIA E DAVILA · (Female)

NPI Number 1568823334
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 03/08/2016
Last updated 10/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • DC License # RN1019874
  • MD License # R198453
Hospital affiliation(s)
  • WASHINGTON HOSPITAL CENTER - (Acute Care)
    110 IRVING ST NW
    WASHINGTON, DC 20010
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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