# MRS. DAVINA I LITTLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902412117
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 53-79586 | KS | Yes |

## Other

- **Enumeration date:** 09/22/2020
- **Last updated:** 10/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 102644 | GRP PTAN | KS |
| 01 | — | 102644010 | IND PTAN | KS |
| 01 | — | 1891730339 | GRP NPI | KS |
| 01 | — | 1902412117 | IND NPI | KS |
| 01 | — | 27-0040297 | TAX ID | KS |
| 05 | — | 30003885870001 | — | KS |
| 05 | — | 30004720490001 | — | KS |