Provider Demographics
NPI:1932086683
Name:PERKES, AUDREY GRACE
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:GRACE
Last Name:PERKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 HUMBOLDT RD APT 20
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-9172
Mailing Address - Country:US
Mailing Address - Phone:530-828-7973
Mailing Address - Fax:
Practice Address - Street 1:1149 W WOOD ST
Practice Address - Street 2:
Practice Address - City:WILLOWS
Practice Address - State:CA
Practice Address - Zip Code:95988-2614
Practice Address - Country:US
Practice Address - Phone:530-361-6480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker