Davenport, Misti Marie

Davenport, Misti Marie is an individual health care provider with primary practice located at 270 S Moon Ave , Brandon FL 33511-5711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Davenport, Misti Marie can be contacted via phone (813) 571-9988.

Contact Information

Primary practice address
270 S Moon Ave Brandon FL 33511-5711
Phone: (813) 571-9988
Fax: (813) 571-9922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9406608 Florida

Profile Details

NPI number 1568720860
LBN Legal business name Davenport, Misti Marie
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Feb 3rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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