SAMUEL DAVENPORT, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1083616056

Practice Address

400 N STATE OF FRANKLIN RD
Johnson City, TN 37604

Phone: (423) 431-6111

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes RN0000104846 (TN)

Frequently Asked Questions

NPI 1083616056 is the National Provider Identifier for SAMUEL DAVENPORT, CRNA, a Nurse Anesthetist, Certified Registered provider located in Johnson City, TN. This NPI was enumerated on August 10, 2005.
SAMUEL DAVENPORT, CRNA practices at 400 N STATE OF FRANKLIN RD, Johnson City, TN 37604.

Quick Facts

NPI
1083616056
Type
Individual
Enumerated
Aug 10, 2005
Last Updated
Apr 24, 2019

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