Individual provider · Type 1 NPI

Mary Axente

Pediatric Nurse Practitioner · Atlanta, GA

NPI number 1104229822 Active

Practice location

1405 Clifton Rd NE
Atlanta, GA 30322-1060

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X18764 (TN)
Pediatric Nurse Practitioner Primary 363LP0200XRN293203 (GA)

Pediatric Nurse Practitioner: Definition to come...

418 other providers at this address

Other pediatric nurse practitioner providers in Atlanta

See all in Atlanta →

About NPI 1104229822

Mary Axente's National Provider Identifier is 1104229822, issued on Oct 8, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Oct 14, 2021.