Individual provider · Type 1 NPI
Srutte Panta
Gerontology Nurse Practitioner · Lilburn, GA
NPI number
1033990601
Active
Practice location
3151 Royal Creek Way SW
Lilburn, GA 30047-1884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN267277 (GA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1033990601
Srutte Panta's National Provider Identifier is 1033990601, issued on Oct 10, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lilburn, GA. The record was last updated on Jan 2, 2024.