NPI age
19 years
Enumerated 2006-10-06
Across 1622 active nurse practitioner providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 222518 | GA BORN LICENSE |
| 01 (NH) | 063977-23 | NH BORN |
| 01 (MA) | 260064 | MASS BORM LICENSE |
| 01 (FL) | APRN11006495 | FL BORN |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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