Individual
DANIELLE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1053
(651) 353-3772
Mailing address
45 10TH ST W, SAINT PAUL, MN 55102-1053
(651) 353-3772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7077
MN
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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