Individual
AVERYL NYRA D NARVASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
25828 REDLANDS BLVD STE 101, REDLANDS, CA 92373-8451
(909) 307-0964
Mailing address
4484 JONES AVE, RIVERSIDE, CA 92505-2806
(951) 743-4221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95397686
CA
163WP0200X
Pediatric Registered Nurse
RN2358792
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
95033300
CA
363LP0200X
Pediatric Nurse Practitioner
RN2358792
MA
Other
Enumeration date
04/18/2023
Last updated
06/19/2025
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