Individual provider · Type 1 NPI
Mallory Stavrinakis
Nurse Practitioner · Atlanta, GA
Practice location
1405 Clifton Rd NE
Atlanta, GA 30322-1060
Mailing address
PO Box 110566
Durham, NC 27709-5566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN253137 (GA) |
| Nurse Practitioner Primary | 363L00000X | 5014947 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1154881969
Mallory Stavrinakis's National Provider Identifier is 1154881969, issued on Mar 20, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Apr 28, 2022.