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NPI Code Detail

MEDICARE: ALLISON DYE ANDRESON PMHNP-BC

MEDICARE: ALLISON DYE ANDRESON PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN216238GA

General Provider Information

NPI Number : 1841862570
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON DYE ANDRESON PMHNP-BC
Provider Business Mailing Address
First Line : PO BOX 52
Second Line :
City : BRASELTON
State : GA
Zip : 30517-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1325 SATELLITE BLVD NW STE 400
Second Line :
City : SUWANEE
State : GA
Zip : 30024-5299
Country : US
Telephone Number : 678-263-3080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2021
Last Update Date : 07/13/2021

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Directions to “ ALLISON DYE ANDRESON PMHNP-BC” Practice Location

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