MEDICARE: NORA ANN DAVIS MS ARNP PNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1737082	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013978964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA ANN DAVIS MS ARNP PNP-BC

Provider Business Mailing Address
First Line	:	25097 OLYMPIA AVENUE
Second Line	:	SUITE 202
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-5468
Country	:	US
Telephone Number	:	941-205-3376
Fax Number	:

Provider Business Practice Location Address
First Line	:	25097 OLYMPIA AVE
Second Line	:	SUITE 202
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-3912
Country	:	US
Telephone Number	:	941-205-3376
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	07/11/2016

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