Individual
ANA SOFIA MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1949 STONEBROOK WAY, LAWRENCEVILLE, GA 30043-2956
(404) 934-2559
Mailing address
1949 STONEBROOK WAY, LAWRENCEVILLE, GA 30043-2956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN264085
GA
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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