Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SANDRA LOUISE HYVARINEN DAVENPORT, M.D.
Active Sole ProprietorDR. SANDRA LOUISE HYVARINEN DAVENPORT, M.D. is a Geriatric Psychiatry healthcare provider located in BLOOMINGTON, Minnesota. NPI 1912044918 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychiatry · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1912044918
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2007 (19.556850733305 yrs)
- Last Updated
- Sep 17, 2013
- Licenses
-
29543 (MN)29543 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6109 W 105TH STBLOOMINGTON, MN, 554381833Browse MN providers · Browse ZIP 55438
- Phone
- 9528315522
- Fax
- 9528310381
- Primary Specialty
-
Geriatric Psychiatry
207SG0201X
- Additional Specialty
- Pediatrics
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.