Davenport, Susan W

Davenport, Susan W is an individual health care provider with primary practice located at 14019 Lenox Forest Ct , Midlothian VA 23113-3770. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davenport, Susan W can be contacted via phone (804) 683-4009.

Contact Information

Primary practice address
14019 Lenox Forest Ct Midlothian VA 23113-3770
Phone: (804) 683-4009
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0024166544 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166544 Virginia

Profile Details

NPI number 1720161532
LBN Legal business name Davenport, Susan W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Oct 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720161532 NPPES
Virginia MEDICAID 010170796

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