Individual
MS. NANCY LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 365-5000
Mailing address
6405 FRANCE AVE S, EDINA, MN 55435-2163
(612) 365-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1769372
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
R70176-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307585100
—
FL
Enumeration date
08/22/2006
Last updated
06/25/2014
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