Individual provider · Type 1 NPI
Wildwine Belizaire, FNP
Nurse Practitioner · Fairburn, GA
Practice location
7560 Butner Rd
Fairburn, GA 30213-1914
Fax (877) 366-4776
Mailing address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN315873 (GA) |
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…
2 other providers at this address
About NPI 1356032056
Wildwine Belizaire, FNP's National Provider Identifier is 1356032056, issued on May 15, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairburn, GA. The record was last updated on Jul 18, 2026.