MEDICARE: LAURYN AVERY

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
1	1041C0700X	Clinical Social Worker	11563-C	NV

General Provider Information

NPI Number	:	1346659042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURYN AVERY

Provider Business Mailing Address
First Line	:	601 W MOANA LN STE 9
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-4959
Country	:	US
Telephone Number	:	775-433-2099
Fax Number	:	775-433-1572

Provider Business Practice Location Address
First Line	:	895 ROBERTA LN
Second Line	:	SUITE 101
City	:	SPARKS
State	:	NV
Zip	:	89431-6802
Country	:	US
Telephone Number	:	775-331-6252
Fax Number	:	775-331-6250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	03/11/2026

Similar Medicare Providers

1942379961 — MRS. JULIE BEMUS ORTIZ M.S., CCC-SLP
Practice Location Address:

895 ROBERTA LN , STE. 101A
SPARKS, NV
89431-6802

Practice Phone: 775-825-4744
Practice Fax: 775-351-1644

1861683443 — MISS MISHAUN KATHLEEN MACLELLAN M.S. CCC SLP
Practice Location Address:

895 ROBERTA LN , 101A
SPARKS, NV
89431-6802

Practice Phone: 775-825-4744
Practice Fax: 775-351-1644

1538352166 — MRS. CANDIA ALEA TOLBERT
Practice Location Address:

895 ROBERTA LN STE 101
SPARKS, NV
89431-6802

Practice Phone: 775-331-6252
Practice Fax: 775-331-6250

1760702377 — MARIA PAZ ISABEL RAMIRO MS, CCC-SLP
Practice Location Address:

895 ROBERTA LN , SUITE 101A
SPARKS, NV
89431-6802

Practice Phone: 775-825-4744
Practice Fax: 775-351-1644

1336431428 — HEIDI S JACKMAN BA
Practice Location Address:

895 ROBERTA LN , SUITE 101
SPARKS, NV
89431-6802

Practice Phone: 775-331-6252
Practice Fax: 775-331-6250

1013200674 — TYLER CREEL BA
Practice Location Address:

895 ROBERTA LN , SUITE 101
SPARKS, NV
89431-6802

Practice Phone: 775-331-6252
Practice Fax: 775-331-6250

Directions to “ LAURYN AVERY ” Practice Location

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