Individual
CARYN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 MEDICAL ARTS BLVD, ANDERSON, IN 46011-3458
(765) 298-5700
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012465A
IN
Other
Enumeration date
04/08/2022
Last updated
04/19/2022
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