NPI 1013166016

Lyee Davenport, CNA

Practitioner Nurse's Aide Woodbine, NJ

Practice location

Address: 526 Jefferson Ave, Woodbine, NJ 08270-2109
Phone: (800) 950-6066

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence NA NJ0608457478 (NJ)

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Registry record

NPI: 1013166016
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2008
Record last updated: 15 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.