Individual provider · Type 1 NPI
Mary Rose Locke
Family Nurse Practitioner · Austell, GA
NPI number
1376930404
Active
Practice location
1620 Mulkey Rd, Ste 100
Austell, GA 30106-1171
Fax (770) 739-9609
Mailing address
8200 Roberts Dr, Ste 450
Sandy Springs, GA 30350-4115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN198225 (GA) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
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- Ailah Marie Vazquez, RN, MSN, FNP-CFamily Nurse Practitioner Austell, GA NPI 1073255352
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About NPI 1376930404
Mary Rose Locke's National Provider Identifier is 1376930404, issued on Apr 15, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Austell, GA. The record was last updated on Jan 20, 2022.