Individual provider · Type 1 NPI
Beth Dziczkowski, NURSE PRACTITIONER
Acute Care Nurse Practitioner · Canton, GA
NPI number
1134014657
Active
Practice location
406 Kings Point Dr
Canton, GA 30115-5210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN264561 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1134014657
Beth Dziczkowski, NURSE PRACTITIONER's National Provider Identifier is 1134014657, issued on Jun 12, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Canton, GA. The record was last updated on Jun 12, 2025.