Davis, Thea A

Davis, Thea A is an sole proprietor health care provider with primary practice located at 2152 S Vineyard Ste 129 , Mesa AZ 85210-6882. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davis, Thea A can be contacted via phone (480) 443-8400.

Contact Information

Primary practice address
2152 S Vineyard Ste 129 Mesa AZ 85210-6882
Phone: (480) 443-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP11430 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP11430 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP11430 Arizona

Profile Details

NPI number 1508335159
LBN Legal business name Davis, Thea A
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2018
Last updated Jun 13th, 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.

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