Individual
MICHELLE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
24 S 1100 E STE 305, SALT LAKE CITY, UT 84102-4500
(385) 290-1289
(385) 290-1290
Mailing address
24 S 1100 E STE 305, SALT LAKE CITY, UT 84102-4500
(385) 290-1289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7760277-4409
UT
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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