Individual
MRS. CONNIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP,CWON,DAPWCA
Contact information
Practice address
700 SE 5TH TER STE 2, CRYSTAL RIVER, FL 34429-4865
(352) 564-0444
(352) 564-4222
Mailing address
2009 S MOONLIT PT, HOMOSASSA, FL 34448-2164
(352) 628-3393
(352) 628-3393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP2634772
FL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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