DAVONN DUTTON


Address: 20118 Ray Falls Dr, Tomball, TX 77375-1155
Phone: 5049147072

DAVONN DUTTON (NPI# 1326554643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326554643
Entity Type Individual
Full Name DAVONN DUTTON
Credential RN
Practice Address 20118 Ray Falls Dr
Tomball
TX 77375-1155
Practice Telephone 5049147072
Enumeration Date 2017-12-22
Last Update Date 2017-12-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
RN134837 LA Nursing Service Providers
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
838057 TX Nursing Service Providers

Office Location

Street Address 20118 RAY FALLS DR
City TOMBALL
State TX
Zip Code 77375-1155

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City TOMBALL
Zip Code 77375

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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