Provider Demographics
NPI:1033545926
Name:AVERILL, ELIZABETH J (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:J
Last Name:AVERILL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:206 ASHELAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801
Mailing Address - Country:US
Mailing Address - Phone:828-258-8681
Mailing Address - Fax:828-253-4830
Practice Address - Street 1:1219 SMOKEY PARK HWY
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715
Practice Address - Country:US
Practice Address - Phone:828-258-8681
Practice Address - Fax:828-253-4830
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2023-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC5006495363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner