Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Avery Fossum

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043905185

Avery Fossum is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Madison, WI

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043905185
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2023
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023

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