Individual
AMAUWIA OKIVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
961 HEATHCHASE DR, SUWANEE, GA 30024-3622
(678) 463-5695
Mailing address
961 HEATHCHASE DR, SUWANEE, GA 30024-3622
(678) 463-5695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN179764
GA
363LF0000X
Family Nurse Practitioner
RN179764
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
GA
Enumeration date
07/08/2016
Last updated
05/05/2025
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