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NPI Code Detail

MEDICARE: MRS. NANCI BRINN AHEARN F.N.P.

MEDICARE: MRS. NANCI BRINN AHEARN F.N.P.
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
1363L00000XNurse Practitioner200100698NC

General Provider Information

NPI Number : 1437134483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCI BRINN AHEARN F.N.P.
Provider Business Mailing Address
First Line : 89 INTERCHANGE DR
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-7661
Country : US
Telephone Number : 912-527-5301
Fax Number : 912-756-4740
Provider Business Practice Location Address
First Line : 89 INTERCHANGE DR
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-7661
Country : US
Telephone Number : 912-527-5301
Fax Number : 912-756-4740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 09/02/2016

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