Davis, Shannan Vera

Davis, Shannan Vera is an individual health care provider with primary practice located at 14601 Hope Center Loop , Fort Myers FL 33912-4707. 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. Davis, Shannan Vera can be contacted via phone (239) 334-7000.

Contact Information

Primary practice address
14601 Hope Center Loop Fort Myers FL 33912-4707
Phone: (239) 334-7000
Fax: (239) 334-7070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11011245 Florida

Profile Details

NPI number 1265430664
LBN Legal business name Davis, Shannan Vera
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Sep 18th, 2023 - about 3 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 1265430664 NPPES
Florida MEDICAID 113911800
Florida MEDICAID 1265430664

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