Individual
KARLYN QUIN D'AVERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN, LSN, MED
Contact information
Practice address
2413 SAINT ANTHONY BLVD, ST ANTHONY VILLAGE, MN 55418-3151
(612) 824-1599
Mailing address
2413 SAINT ANTHONY BLVD, ST ANTHONY VILLAGE, MN 55418-3151
(612) 824-1599
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
1529755
MN
163WS0200X
School Registered Nurse
Primary
494462
MN
251K00000X
Public Health or Welfare Agency
15786
MN
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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