Provider Demographics
NPI:1760608673
Name:CARBY, AVEREL D (RN)
Entity Type:Individual
Prefix:
First Name:AVEREL
Middle Name:D
Last Name:CARBY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 BOBWHITE RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1733
Mailing Address - Country:US
Mailing Address - Phone:561-574-4348
Mailing Address - Fax:561-792-7122
Practice Address - Street 1:128 BOBWHITE RD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1733
Practice Address - Country:US
Practice Address - Phone:561-574-4348
Practice Address - Fax:561-792-7122
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9187103163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health