Individual
MRS. MICHELLE LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10475 READING ROAD, STE 117, CINCINNATI, OH 45241-2500
(513) 559-1222
(513) 559-1235
Mailing address
10475 READING ROAD, STE 117, CINCINNATI, OH 45241-2500
(513) 559-1222
(513) 559-1235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CREDENTIAL LICENSE
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
3010585
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100439080
—
KY
01
—
K208050
MEDICARE PTAN
KY
Enumeration date
07/06/2015
Last updated
07/21/2022
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