Individual provider · Type 1 NPI

Evah Wangungu

Family Nurse Practitioner · Carrollton, GA

NPI number 1184176455 Active

Practice location

705 Dixie St
Carrollton, GA 30117-3818

Mailing address

119 Ambulance Dr, Suite 202
Carrollton, GA 30117-3857

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN206115 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1184176455

Evah Wangungu's National Provider Identifier is 1184176455, issued on Nov 2, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carrollton, GA. The record was last updated on Jan 10, 2017.