Individual provider · Type 1 NPI
Polly A. Davenport-Fortune, APNP
Nurse Practitioner · La Crosse, WI
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 304 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1619972841
Polly A. Davenport-Fortune, APNP's National Provider Identifier is 1619972841, issued on Jun 15, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Crosse, WI. The record was last updated on Mar 25, 2016.