Dawn Davis
Individual provider Active NPI Registered Nurse · Dewitt, MI
NPI 1144867417 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1144867417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 47049267 (MI)
- Practice address
- 15144 Via Carmella Dr
Dewitt, MI 48820-8692 - Phone
- (904) 451-1201
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47049267 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 47049267 | MI | Yes |
Addresses
Primary practice location
15144 Via Carmella Dr
Dewitt, MI 48820-8692
Mailing address
15144 Via Carmella Dr
Dewitt, MI 48820-8692
Phone (904) 451-1201
Other names
- Dawn Davis
Other providers in Dewitt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. 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.