Individual
MRS. CYNTHIA EULALIA AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5135 W HARVARD DR, FRANKLIN, WI 53132-8191
(414) 235-3325
(414) 235-3325
Mailing address
5135 W HARVARD DR, FRANKLIN, WI 53132-8191
(414) 235-3325
(414) 235-3325
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
123562-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123562-030
RN WISC. LICENSE #
WI
05
—
39981000
—
WI
Enumeration date
03/02/2007
Last updated
05/19/2008
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