Individual provider · Type 1 NPI

Carolynn Anne Desandre, PhD, CMN, FNP-BC

Family Nurse Practitioner · Dahlonega, GA

NPI number 1780703306 Active

Practice location

134 Ansley Dr, Suite 200
Dahlonega, GA 30533-1640

Fax (706) 374-7628

Mailing address

165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Midwife 367A00000XRN113863 (GA)
Family Nurse Practitioner Primary 363LF0000XRN113863 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1780703306

Carolynn Anne Desandre, PhD, CMN, FNP-BC's National Provider Identifier is 1780703306, issued on Mar 28, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dahlonega, GA. The record was last updated on May 30, 2017.