Individual provider · Type 1 NPI
Margaret S. Licavoli
Gerontology Nurse Practitioner · Blairsville, GA
NPI number
1487399416
Active
Practice location
123 Weaver Rd Ste B
Blairsville, GA 30512-3155
Mailing address
351 E Highland St
Blue Ridge, GA 30513-4544
Other practice locations
- 351 E Highland St, 351 E Highland St, Blue Ridge, GA 30513-4544 · (706) 632-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN168368 (GA) |
Gerontology Nurse Practitioner: Definition to come...
4 other providers at this address
- Sentinel Plastic Surgery LLCPlastic Surgery Physician Blairsville, GA NPI 1265941413
- Kendra Jordan Cook, APRN/NPNurse Practitioner Blairsville, GA NPI 1013790096
- Michelle Lee Wheat, FNP-CNurse Practitioner Blairsville, GA NPI 1275106783
- Peter Lawrence Fort, MDPulmonary Disease Physician Blairsville, GA NPI 1932191319
About NPI 1487399416
Margaret S. Licavoli's National Provider Identifier is 1487399416, issued on May 4, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Blairsville, GA. The record was last updated on Aug 17, 2022.