Individual
MS. SHAHNAZ MULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2151 PEACHFORD RD, ATLANTA, GA 30338-6599
(770) 455-3200
Mailing address
22024 GARDNER DR, ALPHARETTA, GA 30009-2186
(914) 690-4906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN252331
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN252331
GA
Other
Enumeration date
04/06/2020
Last updated
12/01/2022
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