Provider Demographics
NPI:1790296010
Name:AVRIPAS, ADRIENE LYNN (NP)
Entity Type:Individual
Prefix:
First Name:ADRIENE
Middle Name:LYNN
Last Name:AVRIPAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41800 W 11 MILE RD
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1872
Mailing Address - Country:US
Mailing Address - Phone:248-660-1220
Mailing Address - Fax:
Practice Address - Street 1:41800 W 11 MILE RD STE 109
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1818
Practice Address - Country:US
Practice Address - Phone:248-660-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-13
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704248326363LF0000X
KY1179280363LF0000X
NC5016602363LF0000X
SC26916A363LF0000X
TN32108363LF0000X
NH08922223363LF0000X
WI144493363LF0000X
FL11021988363LF0000X
MT197282363LF0000X
MO2023046595363LF0000X
TX1085408363LF0000X
TN261971363LF0000X
IAA173965363LF0000X
IN71014232A363LF0000X
OH0032457363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily