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General NPI Number Information
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NPI Number | 1992492250
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Entity Type | Individual
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Provider Name | AVERYL NYRA D NARVASA RN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 25828 REDLANDS BLVD STE 101
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City | REDLANDS
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State | CA
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Zip | 92373-8451
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Country | US
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Telephone | 909-307-0964
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Fax |
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Provider Business Mailing Address
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Address Line | 4484 JONES AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-2806
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Country | US
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Telephone | 951-743-4221
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95397686
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN2358792
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN2358792
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95033300
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License Number State | CA
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