Individual
MS. MEARI L AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
525 RUSSELL RD, NEWINGTON, CT 06111-1538
(860) 666-7673
Mailing address
9 RIDGECREST DR, WOLCOTT, CT 06716-2555
(203) 879-7298
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
002529
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002529
APRN
CT
Enumeration date
01/24/2007
Last updated
07/08/2007
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