# AVERA MCKENNAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Medical Group Spencer
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902886567
- **Authorized official:** MS. JULIE N NORTON (V.P. FINANCE)
- **Authorized official phone:** (605) 322-6375

## Contact information

- **Practice address:** 116 E 11TH ST, SUITE 101, SPENCER, IA 51301-4364
- **Practice address phone:** (712) 264-3500
- **Practice address fax:** (712) 264-3535
- **Mailing address:** 116 E 11TH ST, SUITE 101, SPENCER, IA 51301-4364
- **Mailing address phone:** (712) 264-3500
- **Mailing address fax:** (712) 264-3535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IA | Yes |
| 363A00000X | Physician Assistant | — | IA | — |
| 363LF0000X | Family Nurse Practitioner | — | IA | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | IA | — |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 03/12/2012