Individual
MICHAELA DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 563-8250
Mailing address
564 SPELLMAN RD, WEST CHAZY, NY 12992-2610
(518) 593-0887
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
797588-01
NY
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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