Pedro, Avery Grace
Pedro, Avery Grace is an individual health care provider with primary practice located at 98 Shaker Rd , East Longmeadow MA 01028-2731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pedro, Avery Grace can be contacted via phone (413) 798-0301.Contact Information
Primary practice address
98 Shaker Rd
East Longmeadow MA 01028-2731
Phone: (413) 798-0301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Massachusetts |
Profile Details
| NPI number | 1770213845 |
|---|---|
| LBN Legal business name | Pedro, Avery Grace |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2022 |
| Last updated | Jun 13th, 2022 - 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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