Individual provider · Type 1 NPI

Colin Deane Davenport

Nurse Practitioner · Indianapolis, IN

NPI number 1598545360 Active

Practice location

429 E Vermont St Ste 110
Indianapolis, IN 46202-3685

Call (317) 559-0950 Map

Fax (317) 936-3028

Mailing address

PO Box 586
Galloway, OH 43119-0586

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician 207QA0505X71016312A (IN)
Nurse Practitioner Primary 363L00000X71016312A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1598545360

Colin Deane Davenport's National Provider Identifier is 1598545360, issued on Sep 29, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 20, 2026.