Healthcare Provider Details

I. General information

NPI: 1033755509
Provider Name (Legal Business Name): VERA NI STRANGE REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2019
Last Update Date: 11/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5080 PEACHTREE BLVD STE 100
CHAMBLEE GA
30341-2878
US

IV. Provider business mailing address

5080 PEACHTREE BLVD STE 100
CHAMBLEE GA
30341-2878
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-5437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN270386
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: