Provider Demographics
NPI:1710375324
Name:JOSEPH, AVERETTE (RN)
Entity Type:Individual
Prefix:
First Name:AVERETTE
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6193 NW 183RD ST
Mailing Address - Street 2:171426
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33017-0547
Mailing Address - Country:US
Mailing Address - Phone:305-355-7777
Mailing Address - Fax:305-355-7244
Practice Address - Street 1:1695 NW 9TH AVE
Practice Address - Street 2:SUITE 1700
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1409
Practice Address - Country:US
Practice Address - Phone:305-355-7248
Practice Address - Fax:305-355-7244
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN2517782163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health