Individual provider · Type 1 NPI
Frank Tichorla Wajule
Psychiatric/Mental Health Nurse Practitioner · Athens, GA
NPI number
1093361719
Active
Practice location
240 Mitchell Bridge Rd
Athens, GA 30606-2043
Mailing address
3913 Potomac Walk Ct
Loganville, GA 30052-7635
Other practice locations
- 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 · (678) 209-2394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN276761 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN276761 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093361719
Frank Tichorla Wajule's National Provider Identifier is 1093361719, issued on Aug 18, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Athens, GA. The record was last updated on Aug 8, 2024.