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Individual
ELLEN AVERY
Active
Individual
ELLEN AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI100000196
DC
133V00000X
Registered Dietitian
DX3006
MD
133V00000X
Registered Dietitian
Primary
—
NULL
133VN1004X
Pediatric Nutrition Registered Dietitian
—
NULL
Other
Enumeration date
10/10/2012
Last updated
01/13/2026
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