Nelson, Avery Nicole

Nelson, Avery Nicole is an individual health care provider with primary practice located at 580 Court St North Building, Level 1A, Keene NH 03431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Nelson, Avery Nicole can be contacted via phone (603) 354-5496.

Contact Information

Primary practice address
580 Court St North Building, Level 1A Keene NH 03431
Fax: (603) 354-5498
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 125.072607 Illinois
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 24202 New Hampshire

Profile Details

NPI number 1457844912
LBN Legal business name Nelson, Avery Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2018
Last updated Aug 14th, 2023 - about 2 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 1457844912 NPPES
New Hampshire Other 24202 STATE OF NEW HAMPSHIRE BOARD OF MEDICINE
New Hampshire Other 125.072607 STATE OF NEW HAMPSHIRE BOARD OF MEDICINE

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