IndividualActive
Marisha Davis
NPI 1902562101 · Prevention Professional · Brown Deer, WI
Provider details
- NPI number
- 1902562101
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3568832 (WI)
Specialties & taxonomies
Other Service Providers
Practice location
5007 W Fairy Chasm Ct
Brown Deer, WI 53223-1406
Phone: (414) 595-0890
Approximate (ZIP-level) locationGet directions
Mailing address
5007 W Fairy Chasm Ct
Brown Deer, WI 53223-1406
Registry dates
- Enumerated
- 2021-11-11
- Last updated
- 2021-11-11
- Certified
- 2021-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.