Polly A Davenport-Fortune, APNP

NPI #1619972841 in La Crosse, Wisconsin

Provider Information

NPI Number
1619972841
Entity Type
Individual
Name
Polly A Davenport-Fortune, APNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
APNP
Enumeration Date
Jun 15, 2005
Last Updated
Mar 25, 2016

Practice Location

Address
1836 SOUTH AVE
ZIP Code
54601-5429
Phone
(608) 782-7300

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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