Individual provider · Type 1 NPI

Mary Bereznak

Nurse Practitioner · Carrollton, GA

NPI number 1447135157 Active

Practice location

705 Dixie St
Carrollton, GA 30117-3818

Mailing address

223 Austin Ave
Carrollton, GA 30117-3905

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN-NP295066 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1447135157

Mary Bereznak's National Provider Identifier is 1447135157, issued on Aug 11, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carrollton, GA. The record was last updated on Oct 10, 2025.