Individual provider · Type 1 NPI
Charlisa Davenport
Psychiatric/Mental Health Nurse Practitioner · Denver, CO
NPI number
1740648344
Active
Practice location
3095 Wilson Ct
Denver, CO 80205-4945
Mailing address
7505 Beebe Dr
Greenwood, LA 71033-3313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 147386 (LA) |
| Registered Nurse | 163W00000X | 1636968 (CO) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 208625 (LA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | C-APN.0003579-C-NP (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740648344
Charlisa Davenport's National Provider Identifier is 1740648344, issued on Feb 10, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Denver, CO. The record was last updated on Apr 26, 2024.