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NPI Code Detail

MEDICARE: LADONNA DAVIS MSN, APNP, FNP-C

MEDICARE: LADONNA DAVIS MSN, APNP, FNP-C
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
1363LF0000XFamily Nurse Practitioner15400-33WI

General Provider Information

NPI Number : 1649680984
Entity Type Code : Individual
Provider Name (Legal Business Name) : LADONNA DAVIS MSN, APNP, FNP-C
Provider Business Mailing Address
First Line : PO BOX 6317
Second Line :
City : MILWAUKEE
State : WI
Zip : 53206-0317
Country : US
Telephone Number : 414-231-4277
Fax Number :
Provider Business Practice Location Address
First Line : 3220 W VLIET ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-2453
Country : US
Telephone Number : 414-231-4277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2014
Last Update Date : 01/14/2026

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