Nicole Averill
Technician, Personal Care Attendant in Hiawatha, WV. Individual provider (NPI-1).
NPI number1124754445
StatusActive
Last updated in NPPESJul 28, 2022
Details
- NPI
- 1124754445
- Entity type
- Individual (NPI-1)
- Name
- Nicole Averill
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2022
- Certification date
- Jul 19, 2022
- Last updated
- Jul 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
316 Hiawatha Hill Rd.Hiawatha, WV 24729
Phone 304-920-1856
Mailing address
Po Box 261Hiawatha, WV 24729-0261
Phone 304-920-1856
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