Individual
KATE AIBANGBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3836
Mailing address
PO BOX 374785, DECATUR, GA 30037-4785
(404) 675-9784
(404) 675-9784
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN207207
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN207207
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN207207
GA
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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