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Individual

MS. AMY TAYLOR AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
905 TOWER RD STE 3188, BRISTOL, PA 19007-3116
(443) 383-9300
(855) 866-8710
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS GLENCOE, MD 21152-9477
(443) 383-9300
(717) 249-9332

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN542564
PA
363LF0000X
Family Nurse Practitioner
Primary
SP007702
PA

Other

Enumeration date
04/23/2009
Last updated
12/05/2023
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