Individual
BETH D. AVERSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1001 N BROADWAY, SUITE A-3, EVERETT, WA 98201-1586
(425) 317-0300
(425) 317-0303
Mailing address
PO BOX 1166, EVERETT, WA 98206-1166
(425) 258-7357
(425) 258-7022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30002374
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9608639
—
WA
Enumeration date
09/28/2006
Last updated
07/08/2007
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