Individual provider · Type 1 NPI
Son Bang Mai, FNP
Family Nurse Practitioner · Riverdale, GA
NPI number
1174136071
Active
Practice location
83 Upper Riverdale Rd SW Ste 135
Riverdale, GA 30274-2631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN297370 (GA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1174136071
Son Bang Mai, FNP's National Provider Identifier is 1174136071, issued on Aug 28, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Riverdale, GA. The record was last updated on Sep 27, 2020.