Individual
DIANNE E AVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4700 POINT FOSDICK DR STE 220, GIG HARBOR, WA 98335-1706
(253) 851-5121
(253) 851-3059
Mailing address
4700 POINT FOSDICK DR STE 220, GIG HARBOR, WA 98335-1706
(253) 851-5121
(253) 851-3059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
AP30002208
WA
207Q00000X
Family Medicine Physician
AP30002208
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30002208
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131078
STATE L&I
WA
01
—
500006587
RAILROAD
WA
01
—
8928713
STATE CRIME VICTIMS
WA
05
—
9609728
—
WA
Enumeration date
07/11/2006
Last updated
06/03/2021
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