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Agnes E Davenport, NP
Family Nurse Practitioner in Indianapolis, Indiana
NPI 1740970854

Agnes E Davenport is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Agnes E Davenport practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Agnes E Davenport is 1740970854 and holds a License No. 71013819A (Indiana).

The current practice location address for Agnes E Davenport is 550 University Blvd, Indianapolis, IN and can be reached out via phone at 317-491-6000 and via fax at 317-491-6534.

Location: 550 University Blvd, Indianapolis, IN, 46219-4959
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Provider Profile Details
NPI Number
1740970854
Provider Name
Agnes E Davenport
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
550 University Blvd, Indianapolis, IN, 46219-4959
Phone Number
317-491-6000
Fax Number
317-491-6534
Provider Enumeration Date
05/11/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300077302 05 IN
068010905 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
550 University Blvd
City
State
Zip
46202-5149
Phone Number
317-491-6000
Fax Number
317-491-6534
person
Provider Business Mailing Address Details
Address
550 University Blvd
City
State
Zip
46202-5149
Phone Number
317-491-6000
Fax Number
317-491-6534
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71013819A (Indiana)
Definition
Definition to come...
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