Individual provider · NPI-1

Beverly Averitte

Community Health Worker · Indianapolis, IN

NPI number1275939191
StatusActive
Last updated in NPPESNov 5, 2014

Details

NPI
1275939191
Entity type
Individual (NPI-1)
Name
Beverly Averitte
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 5, 2014
Last updated
Nov 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

2477 Bond St
Indianapolis, IN 46208-5355

Phone 317-626-1897

Mailing address

2477 Bond St
Indianapolis, IN 46208-5355

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