IndividualActive
John Davanzo, RN
NPI 1629915376 · Administrator Registered Nurse · Kennesaw, GA
Provider details
- NPI number
- 1629915376
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- RN229140 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
4410 Walnut Creek Dr Nw
Kennesaw, GA 30152-7331
Phone: (404) 304-5384
Approximate (ZIP-level) locationGet directions
Mailing address
4410 Walnut Creek Dr Nw
Kennesaw, GA 30152-7331
Registry dates
- Enumerated
- 2026-04-30
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.