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NPI Code Detail

MEDICARE: MOLLY MICHELLE DAVENPORT ARNP

MEDICARE: MOLLY MICHELLE DAVENPORT ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2363L00000XNurse PractitionerAP61002886WA
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61002886WA
41041C0700XClinical Social WorkerLW00009144WA

General Provider Information

NPI Number : 1891857181
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY MICHELLE DAVENPORT ARNP
Provider Business Mailing Address
First Line : 325 W GOWE ST
Second Line :
City : KENT
State : WA
Zip : 98032-5892
Country : US
Telephone Number : 253-833-7444
Fax Number : 206-302-2210
Provider Business Practice Location Address
First Line : 325 W GOWE ST
Second Line :
City : KENT
State : WA
Zip : 98032-5892
Country : US
Telephone Number : 253-777-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 04/03/2026

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Directions to “ MOLLY MICHELLE DAVENPORT ARNP” Practice Location

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