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Individual
DANIELLE MARIE AVERY
Active
Individual
DANIELLE MARIE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN712632
PA
363L00000X
Nurse Practitioner
Primary
SP026212
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041017570001
—
PA
01
—
2J2946
MEDICARE
PA
Enumeration date
06/20/2022
Last updated
09/10/2025
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