Individual
MRS. ANNETTE PATRICIA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1551 WALL STREET, LOGISTICS HEALTH INC, SUITE 100, SAINT CHARLES, MO 63303
(636) 669-2444
Mailing address
5132 N ELSTON AVE, KAREFIRST MISSOURI PC, CHICAGO, IL 60630-2529
(847) 235-6130
(847) 235-6135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016030306
MO
Other
Enumeration date
08/23/2016
Last updated
09/02/2021
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