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Individual
MOLLY MICHELLE DAVENPORT
Active
Individual
MOLLY MICHELLE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW00009144
WA
1041C0700X
Clinical Social Worker
SWI.LW.00009144
WA
163W00000X
Registered Nurse
RN.RN.60772593
WA
363L00000X
Nurse Practitioner
AP61002886
WA
363L00000X
Nurse Practitioner
ARNP.AP.61002886-NP
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61002886
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP.AP.61002886-NP
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2006
Last updated
07/29/2026
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