Individual
MS. NANCY C. DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 W RUSSELL PL, SAN ANTONIO, TX 78212-3658
(800) 257-8715
Mailing address
146 AN COUNTY ROAD 2405, MONTALBA, TX 75853-3220
(903) 549-2155
(903) 723-7378
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
525853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N8569
BLUE CROSS BLUE SHIELD
TX
01
—
P00200022
RAIL ROAD
TX
Enumeration date
01/25/2007
Last updated
07/08/2007
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