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Contact Information

ANN M AVERY, NURSE PRACTITIONER
3147 LOGAN VALLEY RD
TRAVERSE CITY, MI49684-4772
 Phone: 231-935-0668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

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

NPI # 1619196680
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 04/25/2007
Last updated 11/02/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704077842
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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