AVITA MEDICAL CARE; NPI #1942175658

Contact Information

AVITA MEDICAL CARE

6701 DEMOCRACY BLVD STE 300
BETHESDA, MD 20817-7500

Phone: 800-484-2115
Fax: 800-484-2115
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for AVITA MEDICAL CARE

NPI Number	`1942175658`
LBN Legal business name	AVITA MEDICAL CARE
Authorized official	LAURA MINOR - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/10/2025
Last updated	10/10/2025 - About 8 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AVITA MEDICAL CARE

Contact Information

Specialty

Family

NPI Profile & details for AVITA MEDICAL CARE

Reviews for AVITA MEDICAL CARE