Provider Demographics
NPI:1972893147
Name:DAVIS, NORA B (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:B
Last Name:DAVIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9586 ARKABUTLA RD
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MS
Mailing Address - Zip Code:38618-6871
Mailing Address - Country:US
Mailing Address - Phone:954-260-0465
Mailing Address - Fax:954-970-3487
Practice Address - Street 1:3135 W ATLANTIC BLVD STE 14
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-2565
Practice Address - Country:US
Practice Address - Phone:954-970-3484
Practice Address - Fax:954-970-3487
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2859882363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily