MOLLY MICHELLE DAVENPORT ARNP NPI 1891857181

NPI Information

NPI: 1891857181
Provider Name: MOLLY MICHELLE DAVENPORT, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
325 W GOWE ST
KENT, WA
ZIP 98032
Phone: (253) 777-7777
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Molly Michelle Davenport, ARNP is a psychiatric/mental health nurse practitioner in Kent, WA with 5 years of experience. Molly Michelle Davenport, ARNP NPI is 1891857181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 W GOWE ST
KENT, WA
ZIP 98032-892
Phone: (253) 777-7777

The NPI 1891857181 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 10/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	LW00009144	WASHINGTON	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61002886	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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