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HYRUM DAVENPORT, NP

NP

Nurse Practitioner

NPI: 1255567210IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

NP-913A(ID)

CMS Specialties

Education

OTHER

Class of 2007

Contact & Hours

Address
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202

Quick Facts

NPI
1255567210
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
19

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