Doctor Name: | MS. ANDREA AVILA |
NPI Number: | 1073900528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 3303 Orchard St Apt. A Lincoln, NE - 685032045 |
Business Phone Number: | 8322650241 |
Business Fax Number: | |
Mailing Address: | 3303 Orchard St, Apt. A LINCOLN |
State: | NE |
Postal Code: | 685032045 |
Phone Number: | 8322650241 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2015 |
NPI Last Update Date: | 04/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |