Individual
OMAR ABU-ALRUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
200 S ENOTA DR NE STE 360, GAINESVILLE, GA 30501-3466
(770) 219-4000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN307511
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN307511
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2022
Last updated
12/06/2022
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