Individual
ANGELA LYNN WITTENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3155 REHOBOTH DR, DECATUR, GA 30033-3338
(404) 550-0807
Mailing address
3155 REHOBOTH DR, DECATUR, GA 30033-3338
(404) 550-0807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN170559
GA
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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