Avery Allard Valid NPI

Individual provider · Family Nurse Practitioner · Appleton, WI

NPI

1154057214

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

13048 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2022-07-29

Last updated

2023-09-08