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Individual
MS. SUSAN W DAVENPORT
Active
Individual
MS. SUSAN W DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166544
VA
363LW0102X
Women's Health Nurse Practitioner
0024166544
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010170796
—
VA
Enumeration date
10/23/2006
Last updated
10/06/2021
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