Healthcare Provider Details

I. General information

NPI: 1477924116
Provider Name (Legal Business Name): ANITA VIRANI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 10/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3365 PIEDMONT RD NE SUITE 1250
ATLANTA GA
30305-1794
US

IV. Provider business mailing address

3365 PIEDMONT RD NE SUITE 1250
ATLANTA GA
30305-1794
US

V. Phone/Fax

Practice location:
  • Phone: 404-264-9553
  • Fax: 404-266-2294
Mailing address:
  • Phone: 404-264-9553
  • Fax: 404-266-2294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN216529
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: