Organization · Type 2 NPI
Mtrac Healthcare
Psychiatric/Mental Health Nurse Practitioner · Fayetteville, GA
NPI number
1467106153
Active
Practice location
105 Emerald Lake Ct
Fayetteville, GA 30215-7748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1467106153
Mtrac Healthcare's National Provider Identifier is 1467106153, issued on Feb 10, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fayetteville, GA. The record was last updated on Feb 10, 2022.