Organization · Type 2 NPI
Execellence In Healthcare
Adult Health Nurse Practitioner · Tucker, GA
NPI number
1457064982
Active
Practice location
2208 Hanfred Ln Ste 10132
Tucker, GA 30084-4810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | None listed |
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1457064982
Execellence In Healthcare's National Provider Identifier is 1457064982, issued on Dec 29, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Tucker, GA. The record was last updated on Dec 29, 2022.