| Doctor Name: | MS. ANDREA BROWN AVERY |
| NPI Number: | 1285046110 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.R.N.P. |
| License Number: | 1-111843 |
| Business Practice Address: | 16063 Alabama Highway 69 Moundville, AL - 35474 |
| Business Phone Number: | 2053732267 |
| Business Fax Number: | |
| Mailing Address: | Po Box 687, MOUNDVILLE |
| State: | AL |
| Postal Code: | 354740687 |
| Phone Number: | 2053732267 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2014 |
| NPI Last Update Date: | 05/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 1-111843 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |