Individual
KAITLYN AVERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGCNS-BC
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 670-6324
Mailing address
8446 W 48TH ST, FREMONT, MI 49412-8528
(231) 670-6324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704336018
MI
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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