Stephanie Anne Davenport in Southfield - Physician Assistant
Stephanie Anne Davenport - NPI 1003862186
Stephanie Anne Davenport is a Physician Assistant in Southfield, Michigan. Stephanie Anne Davenport practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephanie Anne Davenport is 1003862186. The last update date is 2022-07-15.
Stephanie Anne Davenport's current location address is 26901 Beaumont Blvd Ste 3d, Southfield, Michigan. You can contact this provider via phone number 9475221865 and fax number 9475220307. The mailing address for Stephanie Anne Davenport is 26901 Beaumont Blvd Ste 3d, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Anne Davenport |
|---|---|
| Address | 26901 Beaumont Blvd Ste 3d, Southfield, Michigan |
| Phone Number | 9475221865 |
| Fax Number | 9475220307 |
| Sole Proprietor | Y |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1003862186 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2022-07-15 |
Provider Mailing Address Detail
| Address | 26901 Beaumont Blvd Ste 3d |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480333849 |
| Phone Number | 9475221865 |
| Fax Number | 9475220307 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1054094 | MI | NCCPA CERTIFICATE NUMBER | |
| 0E00425 | MI | BCBSM |
Post Comment/ Review Below
What is the unique identifier code issued to Stephanie Anne Davenport by the Centers for Medicare & Medicaid Services (CMS)?
The Stephanie Anne Davenport has been assigned the NPI (National Provider Identifier) 1003862186. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Stephanie Anne Davenport located?
The Stephanie Anne Davenport is located at 26901 Beaumont Blvd Ste 3D, Southfield, MI 480333849.
What is the Stephanie Anne Davenport's specialty and taxonomy code?
The Stephanie Anne Davenport's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Stephanie Anne Davenport's information last updated?
The Stephanie Anne Davenport's information was last updated on 2022-07-15.
When was the information pertaining to Stephanie Anne Davenport most recently updated or revised?
The details related to Stephanie Anne Davenport, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-15.