Individual
MICHELLE CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
Mailing address
4505 S MARYLAND PKWY, BOX 453020, LAS VEGAS, NV 89154-3020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
RN212240
GA
363L00000X
Nurse Practitioner
832669
NV
363L00000X
Nurse Practitioner
Primary
RN212240
GA
Other
Enumeration date
03/30/2018
Last updated
10/11/2023
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