Individual
LAURIE A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3011764
KY
363L00000X
Nurse Practitioner
35215
TN
363L00000X
Nurse Practitioner
71008132A
IN
363LF0000X
Family Nurse Practitioner
Primary
3011764
KY
363LF0000X
Family Nurse Practitioner
71008132A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540834
MEDICARE
IN
05
—
300011416
—
IN
05
—
7100498320
—
KY
Enumeration date
12/18/2017
Last updated
09/11/2024
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