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NPI Code Detail

MEDICARE: MRS. BREANNA LYNN LATHROP FNP-BC, MSN, MPH

MEDICARE: MRS. BREANNA LYNN LATHROP FNP-BC, MSN, MPH
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
1363LF0000XFamily Nurse PractitionerRN184089GA

General Provider Information

NPI Number : 1477701753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BREANNA LYNN LATHROP FNP-BC, MSN, MPH
Provider Business Mailing Address
First Line : 1015 DONALD LEE HOLLOWELL PKWY NW
Second Line :
City : ATLANTA
State : GA
Zip : 30318-6653
Country : US
Telephone Number : 678-553-4915
Fax Number : 404-523-6575
Provider Business Practice Location Address
First Line : 1015 DONALD LEE HOLLOWELL PKWY NW
Second Line :
City : ATLANTA
State : GA
Zip : 30318-6653
Country : US
Telephone Number : 678-553-4915
Fax Number : 404-523-6575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2008
Last Update Date : 10/26/2025

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