Individual
JAMES WELBY AVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4104 WENVIEW CT, WEST RICHLAND, WA 99353-6000
(801) 830-3714
Mailing address
309 S 64TH ST, BROKEN ARROW, OK 74014-6984
(801) 830-3714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
125367
OK
163W00000X
Registered Nurse
895386
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60929524
WA
Other
Enumeration date
11/28/2018
Last updated
11/14/2019
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