Healthcare Provider Details

I. General information

NPI: 1154004877
Provider Name (Legal Business Name): PATRICIA ANNE NAVA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 HOSPITAL BLVD STE 130
ROSWELL GA
30076-4946
US

IV. Provider business mailing address

3000 AVONLEA PL APT 104
WOODSTOCK GA
30189-4897
US

V. Phone/Fax

Practice location:
  • Phone: 470-267-1520
  • Fax:
Mailing address:
  • Phone: 470-331-6822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN264290
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN264290
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: