Individual provider · Type 1 NPI
Annette Patricia Davenport, FNP-BC
Family Nurse Practitioner · St. Charles, MO
NPI number
1487109146
Active
Practice location
1551 Wall Street, Logistics Health Inc, Suite 100
St. Charles, MO 63303
Mailing address
5132 N Elston Ave, Karefirst Missouri Pc
Chicago, IL 60630-2529
Other practice locations
- 2626 Solway Ave, St. Louis, MO 63136-1541 · (314) 306-8222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2016030306 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1487109146
Annette Patricia Davenport, FNP-BC's National Provider Identifier is 1487109146, issued on Aug 23, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Charles, MO. The record was last updated on Sep 2, 2021.