Pwyll, Avilynn
Pwyll, Avilynn is an sole proprietor health care provider with primary practice located at 17227 Old Monte Rio Rd , Guerneville CA 95446-9016. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Pwyll, Avilynn can be contacted via phone (707) 867-6866.Contact Information
Primary practice address
17227 Old Monte Rio Rd
Guerneville CA 95446-9016
Phone: (707) 867-6866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 359686 | California |
Profile Details
| NPI number | 1003561671 |
|---|---|
| LBN Legal business name | Pwyll, Avilynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2022 |
| Last updated | Feb 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003561671 | NPPES |
| California | Other | 359686 | CALIFORNIA BOARD OF REGISTERED NURSING |
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