Individual provider · Type 1 NPI
Marcia Antonia Davis, REGISTERED NURSE
Gerontology Nurse Practitioner · Detroit, MI
NPI number
1881310225
Active
Practice location
4646 John R St
Detroit, MI 48201-1916
Other practice locations
- 20755 Greenfield Rd Ste 802P, Southfield, MI 48075-5410 · (248) 864-8737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704341865 (MI) |
| Gerontology Registered Nurse | 163WG0600X | 4704341865 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1881310225
Marcia Antonia Davis, REGISTERED NURSE's National Provider Identifier is 1881310225, issued on Oct 18, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Detroit, MI. The record was last updated on Sep 15, 2025.