BETHANY DAVIS APRN NPI 1528504818

NPI Information

NPI: 1528504818
Provider Name: BETHANY DAVIS, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
901 E BLOOMINGDALE AVE
BRANDON, FL
ZIP 33511
Phone: (813) 699-3995
Get Directions

Bethany Davis, APRN is a pediatrics nurse practitioner in Brandon, FL. Bethany Davis, APRN NPI is 1528504818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 E BLOOMINGDALE AVE
BRANDON, FL
ZIP 33511-118
Phone: (813) 699-3995
Fax: (813) 315-1625

The enumeration date for this NPI number is 1/11/2017 and was last updated on 8/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	APRN11002802	FLORIDA	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	20623	SOUTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103751600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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