# HARRY AVELLONA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861992141
- **Gender:** Man
- **Credential:** NURSE PRACTITIONER

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WD0400X | Diabetes Educator Registered Nurse | 20120540 | IL | — |
| 363L00000X | Nurse Practitioner | 95009004 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2018
- **Last updated:** 11/19/2019