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NPI Code Detail

MEDICARE: MS. MARY CATHERINE NUNZIATA FNP

MEDICARE: MS. MARY CATHERINE NUNZIATA FNP
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 PractitionerRN134347GA

General Provider Information

NPI Number : 1598733966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY CATHERINE NUNZIATA FNP
Provider Business Mailing Address
First Line : 2365 OLD MILTON PKWY
Second Line : SUITE 300
City : ALPHARETTA
State : GA
Zip : 30004-2140
Country : US
Telephone Number : 770-740-1860
Fax Number : 678-347-2104
Provider Business Practice Location Address
First Line : 2365 OLD MILTON PKWY
Second Line : SUITE 300
City : ALPHARETTA
State : GA
Zip : 30004-2140
Country : US
Telephone Number : 770-740-1860
Fax Number : 678-347-2104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 03/17/2008

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