Individual
MRS. ANDREA LYNN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-BC
Contact information
Practice address
703 W PARK ST, CAYUGA, IN 47928-8207
(765) 492-9042
Mailing address
4264 S 430 E, KINGMAN, IN 47952-8037
(765) 376-2320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009111A
IN
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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