| Ms Mary Ann Davidson, FNP-C | |
|
390 N Courtenay Pkwy, Merritt Island, FL 32953-3456 | |
| (321) 633-3162 | |
| (321) 684-7872 |
| Full Name | Ms Mary Ann Davidson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 390 N Courtenay Pkwy, Merritt Island, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114193786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9448019 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71002633A (Indiana) | Primary |
| Entity Name | Union Associated Physicians Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
| Entity Name | Cnp Operating Co Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518386739 PECOS PAC ID: 8325263734 Enrollment ID: O20201105002659 |
| Entity Name | Pa Post Acute Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20240508003277 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Ann Davidson, FNP-C 7045 W Illiana Dr, West Terre Haute, IN 47885-9006 Ph: (812) 240-5108 | Ms Mary Ann Davidson, FNP-C 390 N Courtenay Pkwy, Merritt Island, FL 32953-3456 Ph: (321) 633-3162 |
Mr. Leander Jostin Beams Sr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 Mcleod St, Merritt Island, FL 32953 Phone: 321-452-2016 | |
Mrs. Cori Megan Daniels, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2409 Willowbrook Rd, Merritt Island, FL 32952 Phone: 321-863-8215 | |
Stephanie Ann Fisher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-633-3162 | |
Nichole E Venzara, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Stewart Dr, Merritt Island, FL 32952 Phone: 321-302-6574 | |
Michelle M Dymond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 N Tropical Trl Ste 105, Merritt Island, FL 32953 Phone: 321-720-5288 | |
Mrs. Kimberly Deniese Mcdaniel, AUTONOMOUS APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 E Merritt Island Cswy Ste 115, Merritt Island, FL 32952 Phone: 321-349-0642 Fax: 321-349-0643 |