Healthcare Provider Details

I. General information

NPI: 1013978964
Provider Name (Legal Business Name): NORA ANN DAVIS MS ARNP PNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 TAMIAMI TRAIL SUITE 2121 CLOSTOCK CHIROPRACTIC WELLNESS CENTER
PUNTA GORDA FL
33950
US

IV. Provider business mailing address

579 PARKSHORE DR
NAPLES FL
34103
US

V. Phone/Fax

Practice location:
  • Phone: 941-205-2225
  • Fax:
Mailing address:
  • Phone: 813-846-6897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number1737082
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1737082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: