Individual provider · Type 1 NPI

Emilea Emade Mfortow, FNP-C

Family Nurse Practitioner · Atlanta, GA

NPI number 1376993600 Active

Practice location

868 York Ave SW
Atlanta, GA 30310

Mailing address

1032 Grove Trail Pass
Douglasville, GA 30134-8007

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN191561 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1376993600

Emilea Emade Mfortow, FNP-C's National Provider Identifier is 1376993600, issued on Jun 17, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 14, 2018.