Doctor Name: | NATALIE M. AVERY |
NPI Number: | 1043517386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 2011003875 |
Business Practice Address: | 513 Burkarth Rd Warrensburg, MO - 640933103 |
Business Phone Number: | 6607477751 |
Business Fax Number: | 6607478398 |
Mailing Address: | 513 Burkarth Rd, WARRENSBURG |
State: | MO |
Postal Code: | 640933103 |
Phone Number: | 6607477751 |
Fax Number: | 6607478398 |
NPI Enumeration Date: | 02/23/2011 |
NPI Last Update Date: | 02/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2011003875 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |