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Individual

ELIZABETH ANN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5400 FORT ST STE 130, TRENTON, MI 48183-4627
(734) 362-7100
(734) 671-1768
Mailing address
1660 SALMER ST, HOLLY, MI 48442-9188
(734) 674-7044

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704244761
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704244761
MICHIGAN LICENSE
MI
Enumeration date
06/20/2018
Last updated
12/13/2025
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