Healthcare Provider Details

I. General information

NPI: 1134883556
Provider Name (Legal Business Name): LAURA ELIZABETH DAVITT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 HOSPITAL DR
MADISON TN
37115-5030
US

IV. Provider business mailing address

1605A 7TH AVE N
NASHVILLE TN
37208-2219
US

V. Phone/Fax

Practice location:
  • Phone: 615-732-7662
  • Fax:
Mailing address:
  • Phone: 629-999-0381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0000225879
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number35539
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: