Averill, Kathleen
Averill, Kathleen is an individual health care provider with primary practice located at 2535 University Ave Se , Minneapolis MN 55414-3205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Averill, Kathleen can be contacted via phone (612) 672-2350.Contact Information
Primary practice address
2535 University Ave Se
Minneapolis MN 55414-3205
Phone: (612) 672-2350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 209-004900 | Illinois |
Profile Details
| NPI number | 1851570956 |
|---|---|
| LBN Legal business name | Averill, Kathleen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2007 |
| Last updated | Jan 4th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851570956 | NPPES |
| Illinois | Other | 209-004900 | CNP LICENSE |
| Illinois | Other | 6134 | CNP LICENSE |
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