Individual provider · Type 1 NPI
Mary Augusta Koblasz, RN, CNS
Psychiatric/Mental Health Clinical Nurse Specialist · Atlanta, GA
NPI number
1386672095
Active
Practice location
80 Jesse Hill Jr Dr SE, Dept Of Psychiatry
Atlanta, GA 30303-3031
Mailing address
210 Aerie Ct
Atlanta, GA 30350-2801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | RN055134 (GA) |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
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About NPI 1386672095
Mary Augusta Koblasz, RN, CNS's National Provider Identifier is 1386672095, issued on Jun 29, 2006. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.