Individual
MRS. SHANI VANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, CDE
Contact information
Practice address
15511 N FLORIDA AVE, SUITE 502, TAMPA, FL 33613-1263
(813) 936-2609
(813) 252-4452
Mailing address
15511 N FLORIDA AVE, SUITE 502, TAMPA, FL 33613-1263
(813) 936-2609
(813) 252-4452
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
ARNP3343442
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
3343442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018412700
—
FL
Enumeration date
04/10/2007
Last updated
03/01/2017
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