Marion Davenport
Nurse Practitioner - Gerontology
720 E New Haven Avenue
Melbourne
, Florida 32901
Marion Davenport
Nurse Practitioner - Gerontology
720 E New Haven Avenue
Melbourne
, Florida 32901
(321) 725-9100
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Marion Davenport
- 930 S Harbor City Blvd
- Melbourne, FL
- Zip : 32901
- Fax : (321) 725-9100
- Phone : (321) 725-5050
Second Address
- Marion Davenport
- 720 E New Haven Avenue
- Melbourne, FL
- Zip : 32901
- Fax : (321) 728-4168
- Phone : (321) 724-4545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | ARNP1415672 | FL |
National Provider Identifier
| NPI | 1053376723 |
|---|---|
| Provider Name | Marion Davenport |
| First Address | Melbourne, FL 32901 |
| Second Address | Melbourne, FL 32901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2006 |
| Last Update Date | 01/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 303140300 | (05) | FL |
| S77559 | (02) |
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.