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Contact Information

SUSIE M AVERY, APRN
1887 SUNSET DR
GALESBURG, IL61401-8531
 Phone: 309-371-9300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSIE M AVERY · (Female)

NPI Number 1043709660
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 05/09/2018
Last updated 05/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # AP10890
  • IL License # 209.017133
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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