Kristy Victoria Davenport, REGISTERED NURSE
NPI #1164720397 in Mansfield Center, Connecticut
Provider Information
- NPI Number
- 1164720397
- Entity Type
- Individual
- Name
- Kristy Victoria Davenport, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- REGISTERED NURSE
- Enumeration Date
- Mar 11, 2011
- Last Updated
- Mar 11, 2011
Practice Location
- Address
- 189 STORRS RD
- City
- Mansfield Center
- State
- Connecticut
- ZIP Code
- 06250-1683
- Phone
- (203) 621-4773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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