National Provider Identifier

Anna Lea Davenport, FNP

Anna Lea Davenport, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in West Seneca, NY and a listed phone number of (716) 608-0041.

NPI 1457841793West Seneca, NYFamily Nurse Practitioner

Profile Overview

NPI
1457841793
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
May 11, 2018
Last Updated
August 05, 2024

Practice Location

  • 1965 Ridge Road
  • West Seneca, NY 14224-3312

Phone: (716) 608-0041

Mailing Address

  • 1464 S Michigan Ave Apt 1108
  • Chicago, IL 60605-3634

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1457841793
Entity Type
Individual
Last Name
Davenport
First Name
Anna
Middle Name
Lea
Name Prefix
Miss
Credential
FNP
Mailing Street Address
1464 S Michigan Ave Apt 1108
Mailing City
Chicago
Mailing State
IL
Mailing ZIP Code
60605-3634
Mailing Country
US
Mailing Phone
(703) 309-9881
Practice Street Address
1965 Ridge Road
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3312
Practice Country
US
Practice Phone
(716) 608-0041
Practice Fax
(716) 608-0042
Enumeration Date
May 11, 2018
Last Updated
August 05, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 05, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)