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General NPI Number Information
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NPI Number | 1376292839
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Entity Type | Individual
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Provider Name | ROSALID KIMANI
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 1301 HIGHTOWER TRL STE 150
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City | ATLANTA
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State | GA
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Zip | 30350-2971
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Country | US
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Telephone | 404-497-1830
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Fax |
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Provider Business Mailing Address
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Address Line | 197 RYANS PT
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City | DALLAS
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State | GA
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Zip | 30132-0564
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Country | US
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Telephone | 404-723-9480
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61368059
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN255620
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License Number State | GA
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