Individual
CARL AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
960 HERITAGE DR UNIT 14, SANTA CLARA, UT 84765-1270
(801) 201-4933
Mailing address
960 HERITAGE DR UNIT 14, SANTA CLARA, UT 84765-1270
(801) 201-4933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
318360-3102
UT
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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