Provider Demographics
NPI:1598511370
Name:AVERY, NATALIA ANNA (DO)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:ANNA
Last Name:AVERY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:ANNA
Other - Last Name:PODBORACZYNSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:170 MANNING DR
Mailing Address - Street 2:CB# 7025, HOUPT PHYSICIAN OFFICE BUILDING
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514
Mailing Address - Country:US
Mailing Address - Phone:984-974-4401
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-974-4401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCAVER-ZXZQH1390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program