Individual provider · Type 1 NPI
Shivanthi Ponniah, FNP
Family Nurse Practitioner · Roswell, GA
NPI number
1437124740
Active
Practice location
3889 Fort Trl NE
Roswell, GA 30075-2079
Fax (919) 852-0698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN196129 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1437124740
Shivanthi Ponniah, FNP's National Provider Identifier is 1437124740, issued on Feb 21, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roswell, GA. The record was last updated on Aug 19, 2008.