Individual
MR. WENDI ALANE DAVIDSON
Active
Individual
MR. WENDI ALANE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
4704146324
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704146324
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
4704146324
MI
Other
Enumeration date
03/29/2006
Last updated
09/04/2009
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