Individual
MS. PATRICIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNPF
Contact information
Practice address
217 S MADISON ST, TRAVERSE CITY, MI 49684-2320
(231) 392-8400
(231) 935-7888
Mailing address
3400 N CENTER RD, SUITE 100, SAGINAW, MI 48603-7919
(989) 792-1494
(989) 249-9941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704140341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08017574
RAILROAD MEDICARE
MI
01
—
5008702440
BCBS MICHIGAN
MI
Enumeration date
02/06/2006
Last updated
03/15/2021
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