Individual provider · Type 1 NPI

Elizabeth J. Avery, PA

Physician Assistant · Provo, UT

NPI number 1134828965 Active

Practice location

1055 N 500 W, Ste 205, Building C
Provo, UT 84604-3305

Call (801) 429-8095 Map

Fax (801) 354-8265

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14240564-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134828965

Elizabeth J. Avery, PA's National Provider Identifier is 1134828965, issued on Mar 1, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Sep 17, 2025.