Individual
MICHELLE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
423 3RD AVE, KINGSTON, PA 18704-5809
(570) 331-0880
(570) 331-0220
Mailing address
PO BOX 1587, KINGSTON, PA 18704-0587
(570) 331-0880
(570) 331-0220
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
043647
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015192M49
MEDICARE ID
—
Enumeration date
07/06/2006
Last updated
03/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us