Hillary J Davis, R.N.
Individual provider Active NPI Diabetes Educator Registered Nurse · Manistee, MI
NPI 1104921758 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104921758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- 4704232083 (MI)
- Practice address
- 310 9TH St
Manistee, MI 49660-2100 - Phone
- (231) 723-8299
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704232083 | MI | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little River Band of Ottawa Indians | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 4704232083 | MI | Yes |
Addresses
Primary practice location
310 9TH St
Manistee, MI 49660-2100
Mailing address
410 Cedar St
Manistee, MI 49660-1636
Other providers in Manistee, MI
- Crystal Lake Clinic PC
- Caiden Cudney
- Mark Salvatore Dangelo
- Daniel & Max, LLC
- Michael Dark
- Jessica Jo Dawson
- Jacob R Deboni
- Christina Delacruz
- Jessica Derosia
- Michael Donald Dincau
All providers in Manistee, MI · Diabetes Educator Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.