Individual
DANA NICOLE STANDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2347 LENORA CHURCH RD, SNELLVILLE, GA 30078-3232
(770) 979-2020
Mailing address
2733 SKYLAND DR, SNELLVILLE, GA 30078-3759
(470) 570-7305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN153198
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890533279A
—
GA
05
—
890533279B
—
GA
01
—
P00402063
RAILROAD MEDICARE
GA
Enumeration date
01/30/2007
Last updated
11/26/2025
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