Individual provider · Type 1 NPI
Judith Elizabeth Avery, APRN-BC, PhD
Psychiatric/Mental Health Registered Nurse · Tamuning, GU
NPI number
1013139427
Active
Practice location
790 Governor Carlos Camacho Road, Department Of Mental Health And Substance Abuse
Tamuning, GU 96913
Fax (671) 649-6948
Mailing address
415 Chalan San Antonio, Suite 262C
Tamuning, GU 96913-3620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | BRN420174 (CA) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | RE 1122 (GU) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R 97470 (MP) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
Other psychiatric/mental health registered nurse providers in Tamuning
About NPI 1013139427
Judith Elizabeth Avery, APRN-BC, PhD's National Provider Identifier is 1013139427, issued on May 3, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Tamuning, GU. The record was last updated on Jul 8, 2007.