Healthcare Provider Details

I. General information

NPI: 1912782293
Provider Name (Legal Business Name): AMIRA NAGEEB MSN, RN, ACNPC, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1348 WALTON WAY STE 6700
AUGUSTA GA
30901-5111
US

IV. Provider business mailing address

3861 E PINON CT
GILBERT AZ
85234-3257
US

V. Phone/Fax

Practice location:
  • Phone: 706-288-3167
  • Fax:
Mailing address:
  • Phone: 346-204-8797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number222187
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberGAA-NP003563
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: