Avitabile, Audrey C

Avitabile, Audrey C is an individual health care provider with primary practice located at 1119 Keystone Way N. Suite 117, Carmel IN 46032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Avitabile, Audrey C can be contacted via phone (173) 214-2100.

Contact Information

Primary practice address
1119 Keystone Way N. Suite 117 Carmel IN 46032
Phone: (173) 214-2100
Fax: (317) 214-2101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71013514A Indiana

Profile Details

NPI number 1417086117
LBN Legal business name Avitabile, Audrey C
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Nov 7th, 2023 - about last year

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 1417086117 NPPES
Indiana Other 71013514A INDIANA BOARD OF NURSING

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