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NPI Code Detail

MEDICARE: VASHAWNA DAVIS

MEDICARE:   VASHAWNA  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
1164W00000XLicensed Practical Nurse4703128971MI

General Provider Information

NPI Number : 1457231110
Entity Type Code : Individual
Provider Name (Legal Business Name) : VASHAWNA DAVIS
Provider Business Mailing Address
First Line : 7321 WILDERNESS PARK DR APT 302
Second Line :
City : WESTLAND
State : MI
Zip : 48185-5972
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7321 WILDERNESS PARK DR APT 302
Second Line :
City : WESTLAND
State : MI
Zip : 48185-5972
Country : US
Telephone Number : 313-285-7178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2025
Last Update Date : 09/04/2025

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Directions to “ VASHAWNA DAVIS ” Practice Location

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