Individual provider · Type 1 NPI

Mir Abdul Wadud, NP

Family Nurse Practitioner · Marietta, GA

NPI number 1801164389 Active

Practice location

1758 County Services Pkwy SW
Marietta, GA 30008-4012

Mailing address

4031 Willowmere Trce NW
Kennesaw, GA 30144-6182

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X210808 (GA)
Family Nurse Practitioner 363LF0000XRN250110 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1801164389

Mir Abdul Wadud, NP's National Provider Identifier is 1801164389, issued on Dec 12, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marietta, GA. The record was last updated on May 11, 2020.