HomeNPI Verification

NPI Verification

National Provider Identifier: 1902886567

Avera McKennan

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (4)

Physician Assistant

Code: 363A00000X

Nurse Practitioner, Family

Code: 363LF0000X

Nurse Practitioner, Pediatrics

Code: 363LP0200X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

116 E 11TH ST

SUITE 101

SPENCER, IA 513014364

Phone: 712-264-3500

NPI Enumeration Date

January 19, 2006

NPI Number

1902886567

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry