Individual
KATIE M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP
Contact information
Practice address
1640 FLOSSIE DR, GREENDALE, IN 47025-8424
(877) 670-7264
(812) 539-1824
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(877) 670-7264
(812) 539-1824
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004823A
IN
363LF0000X
Family Nurse Practitioner
71004823A
IN
363LF0000X
Family Nurse Practitioner
APRN.CNP.11823
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201125500
—
IN
Enumeration date
08/27/2010
Last updated
06/04/2024
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