NPI age
13 years
Enumerated 2012-07-16
Across 806 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 102773301 0001 | |
| 01 (PA) | 9137853 | AETNA NON HMO |
| 01 (PA) | 8515034 | AETNA HMO |
| 01 (PA) | P01076733 | RAILROAD MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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