Individual
CAITLIN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79630 HIGHWAY 21, BUSH, LA 70431-4515
(985) 898-4001
Mailing address
79630 HIGHWAY 21, BUSH, LA 70431-4515
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30006347
LA
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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