Individual provider · Type 1 NPI
Stella O. Ayetan
Psychiatric/Mental Health Registered Nurse · Lawrenceville, GA
NPI number
1396337259
Active
Practice location
1775 N Brown Rd Ste 246
Lawrenceville, GA 30043-8119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | RN271306 (GA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
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About NPI 1396337259
Stella O. Ayetan's National Provider Identifier is 1396337259, issued on Feb 10, 2021. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Lawrenceville, GA. The record was last updated on May 18, 2026.