Averill, Bernice

Averill, Bernice is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Averill, Bernice can be contacted via phone (816) 234-3593.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 13-37886-071 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 2004002628 Missouri

Profile Details

NPI number 1144288473
LBN Legal business name Averill, Bernice
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144288473 NPPES
Kansas Other 13-37886-071 KS LICENSE
Kansas Other 2004002628 KS LICENSE

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