Individual
MICHAEL A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
AC000874
MD
363LA2100X
Acute Care Nurse Practitioner
RN109429AP04458
LA
363LA2200X
Adult Health Nurse Practitioner
0024166790
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08281591
—
MS
05
—
1461245
—
LA
Enumeration date
05/02/2007
Last updated
07/20/2017
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