Avery, Robin N

Avery, Robin N is an individual health care provider with primary practice located at 1800 S Douglas Blvd , Midwest City OK 73130-6224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Avery, Robin N can be contacted via phone (405) 732-7119.

Contact Information

Primary practice address
1800 S Douglas Blvd Midwest City OK 73130-6224
Fax: (405) 732-7120
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 77033 Oklahoma

Profile Details

NPI number 1114984150
LBN Legal business name Avery, Robin N
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 10th, 2022 - about 4 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 1114984150 NPPES
Oklahoma MEDICAID 200071020A

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