Individual
DANIELLE ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2150 SW TRENTON LN, PORT SAINT LUCIE, FL 34984-4325
(561) 603-4043
Mailing address
2150 SW TRENTON LN, PORT SAINT LUCIE, FL 34984-4325
(561) 603-4043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11000768
FL
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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