MEDICARE: ASHAKI SEITU

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
1	363LA2100X	Acute Care Nurse Practitioner	NP295232	GA

General Provider Information

NPI Number	:	1881527083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHAKI SEITU

Provider Business Mailing Address
First Line	:	332 CABARET CT SW
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-3618
Country	:	US
Telephone Number	:	678-836-3528
Fax Number	:

Provider Business Practice Location Address
First Line	:	332 CABARET CT SW
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-3618
Country	:	US
Telephone Number	:	678-836-3528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ ASHAKI SEITU ” Practice Location

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