Individual provider · Type 1 NPI

Erin Bardonner Sustachek, APRN

Pediatric Nurse Practitioner · Canton, GA

NPI number 1952016396 Active

Practice location

210 Oakside Ln
Canton, GA 30114-6417

Fax (770) 720-7384

Mailing address

PO Box 307
Cumming, GA 30028-0307

Other practice locations

  • 220 Oakside Ln, Canton, GA 30114-6413 · (678) 807-1050
  • 540 Dahlonega St, Cumming, GA 30040-2110 · (770) 887-1668

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XGAA-NP001149 (GA)

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1952016396

Erin Bardonner Sustachek, APRN's National Provider Identifier is 1952016396, issued on Jan 19, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Canton, GA. The record was last updated on May 2, 2024.