Individual
WILLIAM STANTON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
801 HAZEN ST STE C, PAW PAW, MI 49079-2008
(269) 655-3348
(269) 657-6902
Mailing address
801 HAZEN ST STE C, PAW PAW, MI 49079-2008
(269) 655-3348
(269) 657-6902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704211030
MI
363L00000X
Nurse Practitioner
Primary
4704211030
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704211030
MI
Other
Enumeration date
05/23/2007
Last updated
02/05/2026
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