Cassandra Renee Davenport
Nurse Practitioner - Critical Care Medicine
5121 S Cottonwood St
Murray
, Utah 84107-5701
Cassandra Renee Davenport
Nurse Practitioner - Critical Care Medicine
5121 S Cottonwood St
Murray
, Utah 84107-5701
(801) 400-9676
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Cassandra Renee Davenport
- Po Box 27128
- Salt Lake City, UT
- Zip : 84127-0128
- Phone : (801) 400-9676
Second Address
- Cassandra Renee Davenport
- 5121 S Cottonwood St
- Murray, UT
- Zip : 84107-5701
- Phone : (801) 507-6400
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Is Cassandra Renee Davenport a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 7574219-4405 | UT |
National Provider Identifier
| NPI | 1275984254 |
|---|---|
| Provider Name | Cassandra Renee Davenport |
| First Address | Salt Lake City, UT 84127-0128 |
| Second Address | Murray, UT 84107-5701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2016 |
| Last Update Date | 30/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.