Individual
SALLY LOVELLE AVENSON
Active
Individual
SALLY LOVELLE AVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN00052841
WA
176B00000X
Midwife
AP30000503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9601592
—
WA
Enumeration date
12/28/2006
Last updated
09/11/2025
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