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Individual

CALLIE AVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
400 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
Mailing address
400 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NPP00280
RI
363LF0000X
Family Nurse Practitioner
Primary
RN2275945
MA

Other

Enumeration date
01/13/2012
Last updated
03/26/2015
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