Healthcare Provider Details

I. General information

NPI: 1750318317
Provider Name (Legal Business Name): ANGELINE M CURTIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 CLAIRMONT RD 116B
DECATUR GA
30033-4004
US

IV. Provider business mailing address

1670 CLAIRMONT RD, 116B
DECATUR GA
30033
US

V. Phone/Fax

Practice location:
  • Phone: 404-321-6111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN042883
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: