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POLLY A DAVENPORT-FORTUNE APNP
NPI 1619972841
Nurse Practitioner in La Crosse, WI

Active since June 15, 2005
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Polly A Davenport-fortune Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POLLY A DAVENPORT-FORTUNE APNP (NPI 1619972841) is an individual nurse practitioner in La Crosse, Wisconsin, licensed in Wisconsin (304) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1619972841
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePOLLY A DAVENPORT-FORTUNECredential: APNP
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Phone(608) 782-7300
Sole ProprietorNo
Enumeration DateJune 15, 2005
Last NPPES UpdateMarch 25, 2016
✔ NPI 1619972841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 304
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1836 SOUTH AVE, La Crosse, WI 54601
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Other Identifiers 3

Medicare UPINS49180
Medicaid43872500WI
Medicare PIN0438WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY BRIAN TROHKIMOINEN M.D.
Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
La Crosse County (608) 775-2031
JESSICA E THESING CRNA
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
DR. MICHAEL DAVID SMITH PSY.D.
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JESSICA MAE RASMUSSEN
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JULIE SONSALLA APNP
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
LAURA KLINGBEIL
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
SUSAN CAROL SORRENTINO RN
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
NAOMI MUTHONI RUIRU APNP
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polly Davenport-fortune's NPI number?

The NPI number for Polly Davenport-fortune is 1619972841. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Polly Davenport-fortune located?

Polly Davenport-fortune practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Polly Davenport-fortune's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Polly Davenport-fortune was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.