Davis, Shani Vann

Davis, Shani Vann is an individual health care provider with primary practice located at 15511 N Florida Ave Suite 502, Tampa FL 33613-1263. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Davis, Shani Vann can be contacted via phone (813) 936-2609.

Contact Information

Primary practice address
15511 N Florida Ave Suite 502 Tampa FL 33613-1263
Phone: (813) 936-2609
Fax: (813) 252-4452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X ARNP3343442 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3343442 Florida

Profile Details

NPI number 1295958148
LBN Legal business name Davis, Shani Vann
Credentials ANP-BC, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Mar 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295958148 NPPES
Florida MEDICAID 018412700

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