Individual
BANDI LEA DAVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-9437
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020038
NC
363L00000X
Nurse Practitioner
APRN9283464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023392100
—
FL
Enumeration date
11/07/2017
Last updated
08/02/2024
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