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Individual

NATHAN YOUNG AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
700 N SPRING ST, CALIENTE, NV 89008
(775) 726-3171
(775) 726-3797
Mailing address
6458 SPRUCE ST, TWIN LAKE, MI 49457-8852
(231) 670-5633

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704251033
MI
363L00000X
Nurse Practitioner
Primary
APRN002938
NV

Other

Enumeration date
10/13/2017
Last updated
01/27/2020
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