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NPI Code Detail

MEDICARE: COMMUNITY ADVANCED PRACTICE NURSES, INC.

MEDICARE: COMMUNITY ADVANCED PRACTICE NURSES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterGA

General Provider Information

NPI Number : 1225442783
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY ADVANCED PRACTICE NURSES, INC.
Provider Business Mailing Address
First Line : 173 BOULEVARD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30312-1468
Country : US
Telephone Number : 404-658-1500
Fax Number : 404-658-1535
Provider Business Practice Location Address
First Line : 173 BOULEVARD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30312-1468
Country : US
Telephone Number : 404-658-1500
Fax Number : 404-658-1535
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. CONNIE N BUCHANAN
Credential : MS, NP-C, FNP
Telephone Number : 404-658-1500
Provider Enumeration Date : 06/12/2014
Last Update Date : 06/12/2014

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Directions to “COMMUNITY ADVANCED PRACTICE NURSES, INC. ” Practice Location

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