Individual provider · Type 1 NPI
Kathryn Deluise Liccardo, CPNP-PC
Pediatric Nurse Practitioner · Buford, GA
NPI number
1497380497
Active
Practice location
4095 S Lee St
Buford, GA 30518-3647
Fax (770) 533-4798
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Other practice locations
- 1270 Friendship Rd, Braselton, GA 30517-5608 · (678) 207-4200
- 725 Jesse Jewell Pkwy SE, Gainesville, GA 30501-3834 · (770) 535-3611
- 4019 Executive Drive, Oakwood, GA 30566-3433 · (770) 533-6500
- 155 Professional Dr, Baldwin, GA 30511-4000 · (706) 776-2368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN-NP223459 (GA) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1497380497
Kathryn Deluise Liccardo, CPNP-PC's National Provider Identifier is 1497380497, issued on Mar 10, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Buford, GA. The record was last updated on Oct 30, 2025.