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NPI Code Detail

MEDICARE: GILDA MOSS-TRAORE FNP

MEDICARE: GILDA MOSS-TRAORE FNP
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 PractitionerRN191759GA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerRN191759GA

General Provider Information

NPI Number : 1619368107
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILDA MOSS-TRAORE FNP
Provider Business Mailing Address
First Line : 2470 WINDY HILL RD SE STE 300
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8621
Country : US
Telephone Number : 770-933-5328
Fax Number : 470-980-0507
Provider Business Practice Location Address
First Line : 2470 WINDY HILL RD SE STE 300
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8621
Country : US
Telephone Number : 770-933-5328
Fax Number : 470-980-0507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2015
Last Update Date : 04/04/2025

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Directions to “ GILDA MOSS-TRAORE FNP” Practice Location

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