Organization · Type 2 NPI

Boella Enterprises,llc

Family Nurse Practitioner · Marietta, GA

NPI number 1922339837 Active

Practice location

811 Kennesaw Ave NW
Marietta, GA 30060-1002

Fax (770) 499-2235

Mailing address

4277 Stef Ln NW
Kennesaw, GA 30152-7700

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN054027NP (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1922339837

Boella Enterprises,llc's National Provider Identifier is 1922339837, issued on Jan 18, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marietta, GA. The record was last updated on Jul 20, 2011.