MARDI L DAVENPORT

SURPRISE, AZ
NPI1609182583
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP3719)
Enumeration Date2010-08-30
Last Update Date2016-08-18
Business Address
Mrs. MARDI L DAVENPORT N.P.
15474 W GREENWAY RD
SURPRISE, AZ 85374-4348
Phone number: 866-389-2727
Mailing Address
Mrs. MARDI L DAVENPORT N.P.
15474 W GREENWAY RD
SURPRISE, AZ 85374-4348
Phone number: 866-379-2727
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