Ann Z. Avery, MSN

Individual provider Active NPI Family Medicine Physician · Coventry, RI

NPI 1720005184 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720005184
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
CNPP27096 (RI)
Practice address
191 Macarthur Blvd
Coventry, RI 02816-7244
Phone
(401) 828-5335
Fax
(401) 828-2914
NPI assigned
Jul 15, 2006
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)
Yes
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
CNPP27096RIMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CNPP27096 RI Yes

Addresses

Primary practice location

191 Macarthur Blvd
Coventry, RI 02816-7244

Mailing address

311 Doric Ave
Cranston, RI 02910-2903
Phone (401) 467-9610

Other providers in Coventry, RI

All providers in Coventry, RI · Family Medicine Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.