Alycia Davidson, FNP-C
Nurse Practitioner, Family in Marquette, MI. Individual provider (NPI-1).
NPI number1336765387
StatusActive
Last updated in NPPESSep 9, 2023
Details
- NPI
- 1336765387
- Entity type
- Individual (NPI-1)
- Name
- Alycia Davidson
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2020
- Certification date
- Sep 9, 2023
- Last updated
- Sep 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 47044290096 | MI | Yes |
Practice location
850 W Baraga AveMarquette, MI 49855-4550
Phone 906-449-3000
Mailing address
850 W Baraga AveMarquette, MI 49855-4550
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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