Healthcare Provider Details

I. General information

NPI: 1083881577
Provider Name (Legal Business Name): LAURA HANDLEY SAYEWICH RN, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5455 MERIDIAN MARKS RD NE STE 570
ATLANTA GA
30342-4725
US

IV. Provider business mailing address

1930 HUNTINGTON HALL CT
ATLANTA GA
30338-5713
US

V. Phone/Fax

Practice location:
  • Phone: 404-252-3353
  • Fax:
Mailing address:
  • Phone: 404-279-0894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number195479
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN182668NP
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: