Individual
MELISSA ANNE DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098
(920) 262-4825
Mailing address
1025 MULBERRY ST, LAKE MILLS, WI 53551-1304
(920) 648-4518
(920) 648-1623
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
197134-30
WI
363LF0000X
Family Nurse Practitioner
Primary
9030-33
WI
Other
Enumeration date
08/30/2013
Last updated
04/09/2019
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