Provider Demographics
NPI:1235397027
Name:AVNI, NITZA
Entity Type:Individual
Prefix:MS
First Name:NITZA
Middle Name:
Last Name:AVNI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5612
Mailing Address - Country:US
Mailing Address - Phone:508-872-6103
Mailing Address - Fax:
Practice Address - Street 1:0 EMERSON PL
Practice Address - Street 2:SUITE 2C
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2241
Practice Address - Country:US
Practice Address - Phone:617-227-3298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA380231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist