NPI 1679063069 · live from the CMS NPI Registry
Eli Blinn Avery, APRN
Nurse Practitioner, Family in St Johnsbury, VT. National Provider Identifier 1679063069, active.
NPI record
| NPI | 1679063069 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 185 Sherman Dr Ste 1, St Johnsbury, VT 05819 |
| Practice phone | 802-748-5041 |
| Mailing address | 165 Sherman Dr, St Johnsbury, VT 05819 |
| Enumerated | May 11, 2018 |
| Last updated | August 10, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 101.0134688 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.