| Doctor Name: | MRS. ROBIN N AVERY |
| NPI Number: | 1114984150 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 77033 |
| Business Practice Address: | 6820 Nw 23rd St Bethany, OK - 73008 |
| Business Phone Number: | 4054950070 |
| Business Fax Number: | 4057870062 |
| Mailing Address: | 6820 Nw 23rd St, BETHANY |
| State: | OK |
| Postal Code: | 73008 |
| Phone Number: | 4054950070 |
| Fax Number: | 4057870062 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 03/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 77033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |