Individual provider · Type 1 NPI

Santoria Glenntrece Hambolu, AGACNP-BC

Gerontology Nurse Practitioner · Atlanta, GA

NPI number 1013500073 Active

Practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Call (404) 712-2000 Map

Mailing address

1355 Whisperwood Ct
Montgomery, AL 36117-3227

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN270894 (GA)
Acute Care Nurse Practitioner 363LA2100X000000000000 (GA)

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About NPI 1013500073

Santoria Glenntrece Hambolu, AGACNP-BC's National Provider Identifier is 1013500073, issued on Feb 19, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Atlanta, GA. The record was last updated on May 29, 2026.