NPI Profile for MARY L DAVIS in KISSIMMEE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Community Health |
363LC1500X | 50 | Nurse Practitioner | |
Emergency Medical Technician, Paramedic |
146L00000X | |||
Gerontology |
364SG0600X | 89 | Certified Clinical Nurse Specialist | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1699187591 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 05/27/2014 | |
| Last updated | 05/14/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MARY L DAVIS
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