NPI 1083378798

Eduardo Avena

Practitioner Registered Nurse Southgate, MI

Practice location

Address: 13101 Allen Rd, Southgate, MI 48195-2216
Phone: (734) 785-7700
Mailing address: 2215 E University Ave, Royal Oak, MI 48067-2329

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 4704360388 (MI)

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Registry record

NPI: 1083378798
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2021
Record last updated: 28 Oct 2021

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.