Susan W Davenport, np
Nurse Practitioner, Family in Midlothian, VA. Individual provider (NPI-1).
NPI number1720161532
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1720161532
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan W Davenport
- Credential
- np
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Certification date
- Oct 6, 2021
- Last updated
- Oct 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024166544 | VA | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | 0024166544 | VA |
Practice location
14019 Lenox Forest CtMidlothian, VA 23113-3770
Phone 804-683-4009
Mailing address
14019 Lenox Forest CtMidlothian, VA 23113-3770
Phone 804-683-4009
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