Individual
MELISSA AUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, GNP-BC
Contact information
Practice address
54 PEACHTREE PARK DR NE, ATLANTA, GA 30309-1304
(404) 351-6041
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7366
(502) 568-7114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
191978
GA
363LG0600X
Gerontology Nurse Practitioner
RN 191978
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130471A
—
GA
Enumeration date
06/15/2012
Last updated
06/29/2017
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