Individual
MRS. MICHELLE DIANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6100 ROCKSIDE WOODS BLVD N, SUITE 425, INDEPENDENCE, OH 44131-2366
(216) 643-2780
(216) 524-0111
Mailing address
167 TIMBER OAK DR, POWELL, OH 43065-8126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.08417
OH
363LF0000X
Family Nurse Practitioner
NP-08417
OH
Other
Enumeration date
08/03/2006
Last updated
12/23/2025
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