Provider Demographics
NPI:1720450968
Name:AVRIL, NADIA
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:AVRIL
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 1:3421 NW 43RD ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33309-4234
Mailing Address - Country:US
Mailing Address - Phone:954-854-3855
Mailing Address - Fax:
Practice Address - Street 1:3421 NW 43RD ST
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33309-4234
Practice Address - Country:US
Practice Address - Phone:954-854-3855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor