Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 4704146324 | MI |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 4704146324 | MI |
NPI | 1023079159 |
---|---|
Provider Name | Mr. Wendi Alane Davidson |
First Address | Grand Rapids, MI 49503 |
Second Address | Grand Rapids, MI 49503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 04/09/2009 |