Ashley Patrice Davenport
Individual provider Active NPI Contractor · Warren, MI
NPI 1902358542 · NPPES record last updated Nov 2, 2016
Key facts
- NPI
- 1902358542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 21548 Doepfer Rd
Warren, MI 48091-4629 - Phone
- (313) 433-7856
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
21548 Doepfer Rd
Warren, MI 48091-4629
Mailing address
21548 Doepfer Rd
Warren, MI 48091-4629
Phone (313) 433-7856
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.