Organization · Type 2 NPI
Mymira Healthcare Services LLC
Primary Care Nurse Practitioner · Marietta, GA
NPI number
1689394447
Active
Practice location
3008 Edgefield Dr SW
Marietta, GA 30008-7665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Community Health Clinic/Center | 261QC1500X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Marietta
About NPI 1689394447
Mymira Healthcare Services LLC's National Provider Identifier is 1689394447, issued on Aug 31, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Marietta, GA. The record was last updated on Aug 31, 2022.