Individual
BETHANY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
20623
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11002802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103751600
—
FL
Enumeration date
01/11/2017
Last updated
05/19/2025
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