Individual
MICHELLE DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
229 N EGAN AVE, BURNS, OR 97720-1741
(541) 573-6126
Mailing address
229 N EGAN AVE, BURNS, OR 97720-1741
(541) 573-6126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
085073006N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000306
—
OR
Enumeration date
12/22/2005
Last updated
08/21/2012
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