Individual
MONICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947
(574) 753-7541
Mailing address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947
(765) 480-3975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007003A
IN
Other
Enumeration date
02/27/2017
Last updated
07/21/2022
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