Healthcare Provider Details

I. General information

NPI: 1679489066
Provider Name (Legal Business Name): LINDA MARY AVERY BSN, RN, CWOCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8492 REED HILL RD
CATTARAUGUS NY
14719-9462
US

IV. Provider business mailing address

8492 REED HILL RD
CATTARAUGUS NY
14719-9462
US

V. Phone/Fax

Practice location:
  • Phone: 585-354-9121
  • Fax:
Mailing address:
  • Phone: 585-354-9121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC2100X
TaxonomyContinence Care Registered Nurse
License Number432111
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License Number432111
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number432111
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: