NICOLE E AVILEZ PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1316455850- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1318 KANSAS DR, PAOLA, KS, 660712107
- Phone
- (913) 557-5678
- Fax
- (913) 557-5681
Specialties & Taxonomies
Physician Assistant
License: OK #2834
Physician Assistant
Primary License: KS #15-02608