CARMEN E. DAVAILUS APRN FNP-C NPI 1730199308

NPI Information

NPI: 1730199308
Provider Name: CARMEN E. DAVAILUS, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
17 LAKE DR
ROUND ROCK, TX
ZIP 78665
Phone: (512) 264-4007
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Carmen E. Davailus, APRN, FNP-C is a family nurse practitioner in Round Rock, TX. Carmen E. Davailus, APRN, FNP-C NPI is 1730199308. 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:

17 LAKE DR
ROUND ROCK, TX
ZIP 78665-415
Phone: (512) 264-4007

The enumeration date for this NPI number is 8/8/2006 and was last updated on 9/22/2016.

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	163W00000X	Registered Nurse		722028	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	APRN-315	HAWAII	No
3	163W00000X	Registered Nurse		RN-46825	HAWAII	No
4	363LF0000X	Nurse Practitioner	Family	AP115185	TEXAS	Yes

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	722028	OTHER	TEXAS	TX LICENSE #
2	183965605	MEDICAID	TEXAS
3	07077	OTHER	TEXAS	PRESCRIPTION ID #
4	183965604	MEDICAID	TEXAS
5	345730YL9X	MEDICARE PIN	TEXAS
6	AP115185	OTHER	TEXAS	APRN LICENSE
7	345730YMGJ	MEDICARE PIN	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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