MEDICARE: MS. CHRISTIANE GALLEN DAVENPORT N.P.

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
1	363LF0000X	Family Nurse Practitioner	0024170540	VA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024170540	VA

General Provider Information

NPI Number	:	1316283914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTIANE GALLEN DAVENPORT N.P.

Provider Business Mailing Address
First Line	:	277 S WASHINGTON ST STE 210
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-3672
Country	:	US
Telephone Number	:	703-828-8308
Fax Number	:	703-828-8602

Provider Business Practice Location Address
First Line	:	101 N UNION ST STE 205
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-3231
Country	:	US
Telephone Number	:	703-828-8308
Fax Number	:	703-828-8602

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2012
Last Update Date	:	04/27/2026

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