Davenport, Mardi L

Davenport, Mardi L is an individual health care provider with primary practice located at 15474 W Greenway Rd , Surprise AZ 85374-4348. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davenport, Mardi L can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
15474 W Greenway Rd Surprise AZ 85374-4348
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP3719 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP3719 Arizona

Profile Details

NPI number 1609182583
LBN Legal business name Davenport, Mardi L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2010
Last updated Oct 29th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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