Whalio Doctors

NPI 1164720397

Kristy Victoria Davenport, REGISTEREDNURSE

Practitioner Registered Nurse Mansfield Center, CT

Practice location

Address
189 Storrs Rd, Mansfield Center, CT 06250-1683
Phone
(203) 621-4773
Mailing address
26 Boston Post Rd # 188, Waterford, CT 06385-2402

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 082694 (CT)

Registry record

NPI
1164720397
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Mar 2011
Record last updated
11 Mar 2011

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.