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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL V DAVENPORT, CRNA

Active

SAMUEL V DAVENPORT, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in JOHNSON CITY, Tennessee. NPI 1083616056 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · JOHNSON CITY, TN

Registration Details

NPI Number
1083616056
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2005 (20.991709686332 yrs)
Last Updated
Apr 24, 2019
License
RN0000104846 (TN)

Practice Information

Address
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN, 376046035
Browse TN providers · Browse ZIP 37604
Phone
4234316111
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in JOHNSON CITY, TN

Name Credential NPI
JERRY MORGAN BULLARD CRNA 1598765919
SHEILA FRANCINE BEASLEY CRNA 1861493793
PATRICIA B CATHELYN CRNA 1851393805
LARRY W CORNWELL CRNA 1841292810
AMY H ERICKSON CRNA 1528060423
RUBEN FUENTES CRNA 1366444028
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.