person
Amber Noel Davenport, PA-C
Medical Physician Assistant in Portage, Michigan
NPI 1619227592

Amber Noel Davenport is a Medical Physician Assistant based in Gaylord, MI and is specialized in Medical. Amber Noel Davenport practices in Portage, MI and has the professional credentials of PA-C. The NPI Number for Amber Noel Davenport is 1619227592 and holds a License No. 5601006455 (Michigan).

The current practice location address for Amber Noel Davenport is 245 W Centre Ave, Portage, MI and can be reached out via phone at 269-323-2450.

Location: 245 W Centre Ave, Portage, MI, 49735
person
Provider Profile Details
NPI Number
1619227592
Provider Name
Amber Noel Davenport
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
245 W Centre Ave, Portage, MI, 49735
Phone Number
269-323-2450
Fax Number
Provider Enumeration Date
09/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
245 W Centre Ave
City
State
Zip
49024-5331
Phone Number
269-323-2450
Fax Number
person
Provider Business Mailing Address Details
Address
245 W Centre Ave
City
State
Zip
49024-5331
Phone Number
269-323-2450
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601006455 (Michigan)
Definition
Definition to come...
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