Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Pediatrics
Enumerated
Feb 27, 2017
License(s)
RN213606 (AZ), 95382905 (CA), 5384067111 (KS), PRN11037845 (FL), APRN-5003 (HI), 4035290 (KY), CNP-03133 (NM), 887044 (NV), 222102 (OK), 1076360 (TX), 0024192757 (VA), AP9844 (AZ), CNP03133 (NM)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3455 PEACHTREE RD NE STE 500 | Atlanta, GA 30326-3236 | 914-919-9200 |
| MAILING | 514 CHRISTINE DR | Las Vegas, NM 87701-4663 | 505-429-2994 |
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