Individual
NANCY J. DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD, FACC
Contact information
Practice address
5215 LOUGHBORO RD NW, SUITE 460, WASHINGTON, DC 20016-2618
(202) 686-9801
(202) 363-6464
Mailing address
5215 LOUGHBORO RD NW, SUITE 460, WASHINGTON, DC 20016-2618
(202) 686-9801
(202) 363-6464
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD18999
DC
207RI0011X
Interventional Cardiology Physician
Primary
MD18999
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025972100
—
DC
05
—
205981900
—
MD
05
—
5823684
—
VA
01
—
780000606
RR MEDICARE
DC
Enumeration date
05/25/2006
Last updated
02/18/2014
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