Polly A Davenport-Fortune, APNP
Nurse Practitioner in La Crosse, WI. Individual provider (NPI-1).
NPI number1619972841
StatusActive
Last updated in NPPESMar 25, 2016
Details
- NPI
- 1619972841
- Entity type
- Individual (NPI-1)
- Name
- Polly A Davenport-Fortune
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2005
- Last updated
- Mar 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 304 | WI | Yes |
Practice location
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
Mailing address
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
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All 64 Nurse Practitioner providers in La Crosse · All 4,035 providers in La Crosse
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