Davis, Shannan Vera
Davis, Shannan Vera is an individual health care provider with primary practice located at 14601 Hope Center Loop , Fort Myers FL 33912-4707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Davis, Shannan Vera can be contacted via phone (239) 334-7000.Contact Information
Primary practice address
14601 Hope Center Loop
Fort Myers FL 33912-4707
Phone: (239) 334-7000
Fax: (239) 334-7070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN11011245 | Florida |
Profile Details
NPI number | 1265430664 |
---|---|
LBN Legal business name | Davis, Shannan Vera |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2005 |
Last updated | Sep 18th, 2023 - about 2 years ago |
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 | 1265430664 | NPPES |
Florida | MEDICAID | 113911800 | |
Florida | MEDICAID | 1265430664 |
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