Provider Demographics
NPI:1699144691
Name:DAVIS, MARICRUZ (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MARICRUZ
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:MARICRUZ
Other - Middle Name:
Other - Last Name:HUBBARMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-C
Mailing Address - Street 1:7240 AZURE CIR APT 2110
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-7104
Mailing Address - Country:US
Mailing Address - Phone:703-867-8343
Mailing Address - Fax:
Practice Address - Street 1:5730 HAMLIN GROVES TRL STE 176
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-5792
Practice Address - Country:US
Practice Address - Phone:321-704-9838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-20
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172360363LF0000X
CA95002592363LF0000X
AZ240270363LF0000X
ID59189363LF0000X
FLAPRN11019831363LF0000X
FL1699144691363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily