Avery, Diane D

Avery, Diane D is an individual health care provider with primary practice located at 2415 E Yandell Dr Ste B, El Paso TX 79903-3616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Avery, Diane D can be contacted via phone (915) 577-0030.

Contact Information

Primary practice address
2415 E Yandell Dr Ste B El Paso TX 79903-3616
Phone: (915) 577-0030
Fax: (915) 533-2568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 426206 Texas

Profile Details

NPI number 1689667727
LBN Legal business name Avery, Diane D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1689667727 NPPES
Other 22625 NURSE ANESTHETISTS

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