Individual
MICHELLE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8721 DORSEY RD, RICHMOND, VA 23237-2736
(804) 338-4776
Mailing address
8721 DORSEY RD, RICHMOND, VA 23237-2736
(804) 338-4776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001203311
VA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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