Davis, Bethany

Davis, Bethany is an individual health care provider with primary practice located at 901 E Bloomingdale Ave , Brandon FL 33511-8118. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Davis, Bethany can be contacted via phone (813) 699-3995.

Contact Information

Primary practice address
901 E Bloomingdale Ave Brandon FL 33511-8118
Phone: (813) 699-3995
Fax: (813) 315-1625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20623 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11002802 Florida

Profile Details

NPI number 1528504818
LBN Legal business name Davis, Bethany
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2017
Last updated Aug 30th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528504818 NPPES
Florida MEDICAID 103751600

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