Individual
MISS ANNA LEA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1965 RIDGE ROAD, WEST SENECA, NY 14224-3312
(716) 608-0041
(716) 608-0042
Mailing address
1464 S MICHIGAN AVE APT 1108, CHICAGO, IL 60605-3634
(703) 309-9881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017399
IL
Other
Enumeration date
05/11/2018
Last updated
08/05/2024
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