Healthcare Provider Details

I. General information

NPI: 1093659104
Provider Name (Legal Business Name): LINDSEY BRONIKOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 N POINT DR # 1333
ALPHARETTA GA
30022-8266
US

IV. Provider business mailing address

945 N POINT DR # 1333
ALPHARETTA GA
30022-8266
US

V. Phone/Fax

Practice location:
  • Phone: 404-941-5226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP239552
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: