Individual provider · Type 1 NPI
Edwidge Azor-Antoine
Pediatric Nurse Practitioner · Villa Rica, GA
NPI number
1740061209
Active
Practice location
626 Dallas Hwy
Villa Rica, GA 30180-1209
Mailing address
100 Greenway Blvd Ste C
Carrollton, GA 30117-4358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 302190 (GA) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
- Westcare Villa Rica PediatricsPediatrics Physician Villa Rica, GA NPI 1487742532
- Ahtyanna Kendrick, CPNP-PCPediatric Nurse Practitioner Villa Rica, GA NPI 1437830775
- Jessica N. Dunn, ARNPPediatric Nurse Practitioner Villa Rica, GA NPI 1952653040
- Josephine T. Ediale, MDPediatrics Physician Villa Rica, GA NPI 1902880842
Other pediatric nurse practitioner providers in Villa Rica
About NPI 1740061209
Edwidge Azor-Antoine's National Provider Identifier is 1740061209, issued on Oct 11, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Villa Rica, GA. The record was last updated on Dec 3, 2025.