Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Authurine Hannam-Davis, APRN

Individual provider Primary Care Nurse Practitioner · NPI 1891241873

Mrs. Authurine Hannam-Davis, APRN is a Nurse Practitioner in Wallingford, Connecticut. Qualified in 2016, 10 years ago. Practices with Fair Haven Community Health Clinic Inc, a 44-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2016
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

300 Church St Ste 103
Wallingford, CT 06492-6608
Phone: (860) 994-7339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6682 (CT)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 6682 (CT)

Record details

NPI number1891241873
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedAugust 30, 2016
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Fair Haven Community Health Clinic Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Wallingford