Individual provider · Type 1 NPI

Mirabel Wenja

Adult Health Nurse Practitioner · Dacula, GA

NPI number 1407715741 Active

Practice location

3134 Grove View Ct
Dacula, GA 30019-6895

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAPRN-NP332774 (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1407715741

Mirabel Wenja's National Provider Identifier is 1407715741, issued on Jan 21, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dacula, GA. The record was last updated on Jul 30, 2026.