Individual
MARVA NANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6350
Mailing address
1639 WHEAT GRASS WAY, GRAYSON, GA 30017-4129
(770) 882-5730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN182472
GA
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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