Kristy V Davenport, REGISTERED NURSE
Registered Nurse in Mansfield Center, Connecticut
1164720397- Practice location
- 189 Storrs RD, Mansfield Center, CT 06250-1683
- Phone
- 203-621-4773
- Fax
- —
- Last updated
- March 11, 2011
Kristy Victoria Davenport is a Registered Nurse based in Mansfield Center, CT. Kristy Victoria Davenport practices in Mansfield Center, CT and has the professional credentials of REGISTERED NURSE. The NPI Number for Kristy Victoria Davenport is 1164720397 and holds a License No. 082694 (CT). The current practice location address for Kristy Victoria Davenport is 189 Storrs RD, Mansfield Center, CT 06250-1683 and can be reached out via phone at 203-621-4773.
Provider Profile Details
- NPI Number
- 1164720397
- Provider Name
- Kristy Victoria Davenport
- Credential
- REGISTERED NURSE
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 189 Storrs RD, Mansfield Center, CT 06250-1683
- Phone Number
- 203-621-4773
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 11, 2011
- Last Update Date
- March 11, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 189 Storrs RD
Mansfield Center, CT 06250-1683 - City
- Mansfield Center
- State
- Connecticut
- Zip
- 06250-1683
- Phone Number
- 203-621-4773
Provider Business Mailing Address Details
- Address
- 26 Boston Post RD
# 188
Waterford, CT 06385-2402 - City
- Waterford
- State
- CT
- Zip
- 06385-2402
- Phone Number
- 203-621-4773
License Information
- License Number
- 082694
- License State
- CT
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurses near Mansfield Center, CT
View all Registered Nurses in Mansfield Center →Frequently Asked Questions
What is the NPI number of Kristy V Davenport, REGISTERED NURSE?
The NPI number of Kristy V Davenport, REGISTERED NURSE is 1164720397. It was assigned on March 11, 2011 and is currently active in the NPPES registry.
What is the specialty of Kristy V Davenport, REGISTERED NURSE?
Kristy V Davenport, REGISTERED NURSE is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in CT under license number 082694.
Where does Kristy V Davenport, REGISTERED NURSE practice?
The practice location is 189 Storrs RD, Mansfield Center, CT 06250-1683. The office can be reached at 203-621-4773 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164720397 directly on the NPPES registry website.