MEDICARE: CHERYL ANN DAVIS NP

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	363L00000X	Nurse Practitioner	3424P	KY
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	CNP05089	OH
3	363LW0102X	Women's Health Nurse Practitioner	APRN.CNP.05089	OH

General Provider Information

NPI Number	:	1578500633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL ANN DAVIS NP

Provider Business Mailing Address
First Line	:	3301 MERCY HEALTH BLVD STE 285
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1106
Country	:	US
Telephone Number	:	513-215-9457
Fax Number	:	513-215-9458

Provider Business Practice Location Address
First Line	:	3301 MERCY HEALTH BLVD STE 285
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1106
Country	:	US
Telephone Number	:	513-215-9457
Fax Number	:	513-215-9458

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	10/12/2024

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