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NPI Code Detail

MEDICARE: SHOSHANA GUTTMAN FNP

MEDICARE: SHOSHANA GUTTMAN 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 PractitionerF11230075GA

General Provider Information

NPI Number : 1669249538
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHOSHANA GUTTMAN FNP
Provider Business Mailing Address
First Line : 1227 BILTMORE DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3811
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1227 BILTMORE DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3811
Country : US
Telephone Number : 443-823-0779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 12/11/2023

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Directions to “ SHOSHANA GUTTMAN FNP” Practice Location

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