NPI 1043709660

Susie Marie Avery, APRN

Practitioner Family Nurse Practitioner Galesburg, IL

Practice location

Address: 1887 Sunset Dr, Galesburg, IL 61401-8531
Phone: (309) 371-9300

Registered specialties (2)

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence AP10890 (AZ)

Other Nurse Practitioner providers in Illinois →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 209.017133 (IL)

Registry record

NPI: 1043709660
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 May 2018
Record last updated: 9 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.