MEDICARE: MS. MICHELLE ANN 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
1	163WH1000X	Hospice Registered Nurse	RN132974	MD

General Provider Information

NPI Number	:	1487512430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE ANN DAVIS

Provider Business Mailing Address
First Line	:	13211 EDDINGTON DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-1942
Country	:	US
Telephone Number	:	202-763-4726
Fax Number	:

Provider Business Practice Location Address
First Line	:	13211 EDDINGTON DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-1942
Country	:	US
Telephone Number	:	202-763-4726
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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