Individual
MICHELLE A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1001 LAKESIDE AVE E STE 1000, CLEVELAND, OH 44114-1162
(216) 694-4080
Mailing address
33677 CROCKER RD, COLUMBIA STATION, OH 44028-9126
(440) 320-0733
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.021204
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.021204
OH
Other
Enumeration date
11/14/2017
Last updated
02/23/2021
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