Individual provider · Type 1 NPI
Aridia I. Ennever
Primary Care Nurse Practitioner · Douglasville, GA
NPI number
1225818388
Active
Practice location
6853 Douglas Blvd Ste B
Douglasville, GA 30135-7178
Mailing address
3471 Hollow Stream Trl
Powder Springs, GA 30127-5318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 185248 (GA) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Douglasville
About NPI 1225818388
Aridia I. Ennever's National Provider Identifier is 1225818388, issued on Oct 4, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Douglasville, GA. The record was last updated on Oct 4, 2023.