Healthcare Provider Details

I. General information

NPI: 1821701699
Provider Name (Legal Business Name): DAVIA ANDREA CAMPBELL-GILPIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2022
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1039 NW 125TH TER
SUNRISE FL
33323-3187
US

IV. Provider business mailing address

1039 NW 125TH TER
SUNRISE FL
33323-3187
US

V. Phone/Fax

Practice location:
  • Phone: 954-696-2547
  • Fax:
Mailing address:
  • Phone: 954-874-8563
  • Fax: 954-820-5288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11023558
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: