Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1581450 | MN |
NPI | 1013359744 |
---|---|
Provider Name | Meghan Maureen Davitt |
First Address | Edina, MN 55439-3081 |
Second Address | Edina, MN 55439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2013 |
Last Update Date | 27/06/2018 |