Individual
DANIELLE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10122 E 10TH ST STE 210, INDIANAPOLIS, IN 46229-2664
(317) 355-8110
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71003383A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201004660
—
IN
Enumeration date
10/07/2010
Last updated
05/14/2024
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