Doctor Name: | HILLARY J DAVIS |
NPI Number: | 1104921758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 4704232083 |
Business Practice Address: | 310 9th St Manistee, MI - 496602100 |
Business Phone Number: | 2317238299 |
Business Fax Number: | |
Mailing Address: | 410 Cedar St, MANISTEE |
State: | MI |
Postal Code: | 496601636 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | 4704232083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |