Individual
LANETTE LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1516 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-5789
(262) 900-1111
(262) 748-1605
Mailing address
1516 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-5789
(262) 900-1111
(262) 748-1605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14426-33
WI
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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