Individual ProviderEllen DavisPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address8915 W Connell Ave, Milwaukee, WI 53226-3067(877) 266-8989(414) 931-1556PECOS EnrollmentBased on the most recent information from CMS, provider Ellen Davis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770321317Provider TypeIndividualFull NameDavis, EllenGenderFemaleSole ProprietorNoEnumeration Date7/17/2024Last Updated7/17/2024Contact InformationPractice LocationPractice Address8915 W Connell Ave, Milwaukee, WI 53226-3067Phone(877) 266-8989FaxUnlisted FaxMailing LocationMailing Address6055 Churchwood Cir, Greendale, WI 53129-2460Phone(414) 931-1556FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer