Katrina Marie Avery, R.N
Individual provider Active NPI Registered Nurse · Carson, CA
NPI 1407064884 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407064884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 461812 (CA)
- Practice address
- 1875 E Fernrock St
Carson, CA 90746-2538 - Phone
- (310) 924-1002
- Fax
- (310) 632-0356
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 461812 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 461812 | CA | Yes |
Addresses
Primary practice location
1875 E Fernrock St
Carson, CA 90746-2538
Mailing address
1875 E Fernrock St
Carson, CA 90746-2538
Phone (310) 924-1002
Other providers in Carson, CA
- Nathan Atthawimol
- Kim Marie Atwater
- Vanessa Aucella
- Auclem Healthcare Services
- Avela Health Services LLC
- Lilibeth Avila
- Linda Avila
- Nancy Lidia Avila I
- Humberto Avina
- Aws Services and Nursing Inc.
All providers in Carson, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.