George, Davina L

George, Davina L is an individual health care provider with primary practice located at 12380 Depaul Drive , Bridgeton MO 63044. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty.

Contact Information

Primary practice address
12380 Depaul Drive Bridgeton MO 63044
Phone:
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2016035063 Missouri

Profile Details

NPI number 1710417571
LBN Legal business name George, Davina L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jun 14th, 2017 - about 7 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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