Individual
DANIELLE STEMBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4004 TYNE CT, COLLEGE PARK, GA 30349-5787
(404) 519-0270
Mailing address
4004 TYNE CT, COLLEGE PARK, GA 30349-5787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN230934
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN230934
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
GA
Enumeration date
07/09/2021
Last updated
08/11/2021
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