Meari L Avery, APRN
Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Newington, CT
NPI 1538214432 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1538214432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
- License
- 002529 (CT)
- Practice address
- 525 Russell Rd
Newington, CT 06111-1538 - Phone
- (860) 666-7673
- NPI assigned
- Jan 24, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002529 | CT | MD | Surgical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 002529 | CT | Yes |
Addresses
Primary practice location
525 Russell Rd
Newington, CT 06111-1538
Mailing address
9 Ridgecrest Dr
Wolcott, CT 06716-2555
Phone (203) 879-7298
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002529 | Other | CT | APRN |
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All providers in Newington, CT · Adult Psychiatric/Mental Health Registered Nurse in Connecticut
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.