Individual
NASTASIA ARDALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C, ACHPN
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 303-3759
Mailing address
4514 CHAMBLEE DUNWOODY RD UNIT 165, ATLANTA, GA 30338-6272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
232298
GA
Other
Enumeration date
04/18/2015
Last updated
03/24/2020
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