Avila, Adrian

Avila, Adrian is an individual health care provider with primary practice located at 314 Badiola St , Caldwell ID 83605-4389. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Avila, Adrian can be contacted via phone (541) 539-1124.

Contact Information

Primary practice address
314 Badiola St Caldwell ID 83605-4389
Phone: (541) 539-1124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 53602 Idaho

Profile Details

NPI number 1619545936
LBN Legal business name Avila, Adrian
Credentials RN, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2021
Last updated Jul 13th, 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 1619545936 NPPES
Idaho Other 53602 IDAHO BOARD OF NURSING

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