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Individual

MS. ISLA STARR MARRERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
3075 BRECKINRIDGE BLVD, SUITE 415, DULUTH, GA 30096-7612
(770) 962-8396
Mailing address
PO BOX 5702, ATLANTA, GA 31107-0702
(716) 830-4456

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
171405
GA
363LW0102X
Women's Health Nurse Practitioner
420933
NY

Other

Enumeration date
06/20/2009
Last updated
04/06/2016
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