Individual
MRS. SUSAN ELIZABETH DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
23 F. WHITES PATH, SOUTH YARMOUTH, MA 02664
(508) 760-2054
(508) 760-1218
Mailing address
23 F. WHITES PATH, SOUTH YARMOUTH, MA 02664
(508) 760-2054
(508) 760-1218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN130742
MA
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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