Individual
NANCY J. DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD, FACC
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
Update your record
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