Individual provider · Type 1 NPI
Davina Godfrey
Gerontology Nurse Practitioner · Eagan, MN
NPI number
1821592429
Active
Practice location
PO Box 211699
Eagan, MN 55121-3699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1180274 (TX) |
| Gerontology Nurse Practitioner | 363LG0600X | 2026033659 (MO) |
| Gerontology Nurse Practitioner | 363LG0600X | GAA-NP005662 (GA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1821592429
Davina Godfrey's National Provider Identifier is 1821592429, issued on Mar 20, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Eagan, MN. The record was last updated on Sep 30, 2026.