Erin Avila, RN, BSN

Individual provider Active NPI Pediatric Registered Nurse · Orange, TX

NPI 1700548583 · NPPES record last updated Oct 9, 2021

Key facts

NPI
1700548583
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Registered Nurse 163WP0200X
License
960404 (TX)
Practice address
1110 Cedar RDG
Orange, TX 77632-6067
Phone
(409) 749-9550
NPI assigned
Oct 9, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
960404TXMDPediatric Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 960404 TX Yes

Addresses

Primary practice location

1110 Cedar RDG
Orange, TX 77632-6067

Mailing address

1110 Cedar RDG
Orange, TX 77632-6067
Phone (409) 749-9550

Other providers in Orange, TX

All providers in Orange, TX · Pediatric Registered Nurse in Texas

Sources for this page

Verify at the official NPI Registry.