NPI | 1417128083 |
---|---|
Former Name | MEREDITH J DAVENPORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005182) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5182P) |
363L00000X Nurse Practitioner (Licence: KY 3005182) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 5182P) | |
Enumeration Date | 2008-03-21 |
Last Update Date | 2023-02-14 |