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NPI Code Detail

MEDICARE: MS. AVERIE NAWA PA-C

MEDICARE: MS. AVERIE NAWA PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA102126MA

General Provider Information

NPI Number : 1669208211
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AVERIE NAWA PA-C
Provider Business Mailing Address
First Line : 19 DALRYMPLE ST APT A
Second Line :
City : BOSTON
State : MA
Zip : 02130-4543
Country : US
Telephone Number : 717-919-8698
Fax Number :
Provider Business Practice Location Address
First Line : 75 FRANCIS ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-6106
Country : US
Telephone Number : 617-732-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2024
Last Update Date : 12/08/2025

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Directions to “ MS. AVERIE NAWA PA-C” Practice Location

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