Hyrum Davenport, NP

NPI #1255567210 in Chubbuck, Idaho

Provider Information

NPI Number
1255567210
Entity Type
Individual
Name
Hyrum Davenport, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jun 4, 2009
Last Updated
Sep 23, 2025

Practice Location

Address
4650 HAWTHORNE RD STE 3B
State
Idaho
ZIP Code
83202-2376
Phone
(208) 252-5621

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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