Davault, Martha
Davault, Martha is an individual health care provider with primary practice located at 6202 N 9Th Ave Ste 4 , Pensacola FL 32504-8291. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Davault, Martha can be contacted via phone (832) 485-4976.Contact Information
Primary practice address
6202 N 9Th Ave Ste 4
Pensacola FL 32504-8291
Phone: (832) 485-4976
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN11007867 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN11007867 | Florida |
Profile Details
NPI number | 1942810072 |
---|---|
LBN Legal business name | Davault, Martha |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2020 |
Last updated | Sep 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942810072 | NPPES |
Florida | Other | APRN11007867 | STATE OF FLORIDA |
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