Individual provider · Type 1 NPI
John Davanzo, RN
Administrator Registered Nurse · Kennesaw, GA
NPI number
1629915376
Active
Practice location
4410 Walnut Creek Dr NW
Kennesaw, GA 30152-7331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | RN229140 (GA) |
Administrator Registered Nurse: Definition to come...
About NPI 1629915376
John Davanzo, RN's National Provider Identifier is 1629915376, issued on Apr 30, 2026. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Kennesaw, GA. The record was last updated on Apr 30, 2026.