Organization · Type 2 NPI
Shivdharaa LLC
Primary Care Nurse Practitioner · Lawrenceville, GA
NPI number
1619688660
Active
Practice location
3639 Lawrenceville Hwy # 7
Lawrenceville, GA 30044-4107
Mailing address
2515 Haynes Club Cir
Grayson, GA 30017-2814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Lawrenceville
About NPI 1619688660
Shivdharaa LLC's National Provider Identifier is 1619688660, issued on Dec 12, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lawrenceville, GA. The record was last updated on May 8, 2024.