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NPI Code Detail

MEDICARE: MS. PATRICIA DAVIS CNPF

MEDICARE: MS. PATRICIA DAVIS CNPF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704140341MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
108017574OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
25008702440OTHERMIBCBS MICHIGAN

General Provider Information

NPI Number : 1538131396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA DAVIS CNPF
Provider Business Mailing Address
First Line : 3400 N CENTER RD
Second Line : SUITE 100
City : SAGINAW
State : MI
Zip : 48603-7919
Country : US
Telephone Number : 989-792-1494
Fax Number : 989-249-9941
Provider Business Practice Location Address
First Line : 217 S MADISON ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2320
Country : US
Telephone Number : 231-392-8400
Fax Number : 231-935-7888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 03/15/2021

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1245207695 — LISA A HUGHES D.O.
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1467418392 — CHRISTA KIESSEL MSN, RN, CS, AOCNP
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Directions to “ MS. PATRICIA DAVIS CNPF” Practice Location

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