Individual
MEGHAN VISNICK DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMW
Contact information
Practice address
1200 SIXTH ST, STE 400, TRAVERSE CITY, MI 49684-2369
(231) 392-0650
(231) 392-0665
Mailing address
5047 N EAGLE HWY, NORTHPORT, MI 49670-9744
(734) 649-6380
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704273686
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704273686
LICENSE
MI
Enumeration date
02/05/2013
Last updated
02/17/2024
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