Healthcare Provider Details

I. General information

NPI: 1538018056
Provider Name (Legal Business Name): HANNAH ROSE DAVIES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3499 S LINDEN RD
FLINT MI
48507-3022
US

IV. Provider business mailing address

3499 S LINDEN RD
FLINT MI
48507-3022
US

V. Phone/Fax

Practice location:
  • Phone: 810-820-8121
  • Fax:
Mailing address:
  • Phone: 810-820-8121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: