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NPI Code Detail

MEDICARE: AMY DAVIS

MEDICARE: AMY DAVIS
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
11041S0200XSchool Social Worker26446MN

General Provider Information

NPI Number : 1114866712
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY DAVIS
Provider Business Mailing Address
First Line : 1250 W BROADWAY AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-2533
Country : US
Telephone Number : 612-668-0254
Fax Number :
Provider Business Practice Location Address
First Line : 3100 E 28TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-1601
Country : US
Telephone Number : 612-668-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “ AMY DAVIS ” Practice Location

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