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NPI Code Detail

MEDICARE: MRS. NANCY ALLEN BUIST NURSE PRACTITIONER

MEDICARE:  MRS. NANCY ALLEN BUIST  NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN078274GA

General Provider Information

NPI Number : 1548494883
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY ALLEN BUIST NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1077 TENNYSON PL NE
Second Line :
City : ATLANTA
State : GA
Zip : 30319-1924
Country : US
Telephone Number : 404-843-3127
Fax Number : 404-843-3127
Provider Business Practice Location Address
First Line : 1077 TENNYSON PL NE
Second Line :
City : ATLANTA
State : GA
Zip : 30319-1924
Country : US
Telephone Number : 404-843-3127
Fax Number : 404-843-3127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2009
Last Update Date : 05/13/2009

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Directions to “ MRS. NANCY ALLEN BUIST NURSE PRACTITIONER” Practice Location

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