Individual
MRS. MICHELLE R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
500 W THOMAS RD STE 480, PHOENIX, AZ 85013-4239
(602) 406-5483
(602) 406-5488
Mailing address
500 W THOMAS RD STE 500, PHOENIX, AZ 85013-4220
(602) 406-4000
(602) 406-6498
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP7614
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028481
—
AZ
Enumeration date
04/14/2015
Last updated
09/22/2023
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