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NPI Code Detail

MEDICARE: MS. AIMEE E AVISON PA-C

MEDICARE: MS. AIMEE E AVISON 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 Assistant327MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912952292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AIMEE E AVISON PA-C
Provider Business Mailing Address
First Line : 2223 MISSION WAY
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0160
Country : US
Telephone Number : 406-237-8989
Fax Number :
Provider Business Practice Location Address
First Line : 2223 MISSION WAY
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0160
Country : US
Telephone Number : 406-237-8989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 04/08/2019

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