Healthcare Provider Details

I. General information

NPI: 1407400427
Provider Name (Legal Business Name): RACHEL MAE PERLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL MAE DEY NNP-BC

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 07/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1584 TULLIE CIR NE
ATLANTA GA
30329-2311
US

IV. Provider business mailing address

1584 TULLIE CIR NE
ATLANTA GA
30329-2311
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-5413
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberRN140153
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: