Individual
LISA MUNISTERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 HILLS CREEK RD, TAYLORSVILLE, GA 30178-2068
(770) 773-5331
Mailing address
25 HASTINGS DR, CARTERSVILLE, GA 30120-6499
(770) 773-5331
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN214464
GA
363LG0600X
Gerontology Nurse Practitioner
RN214464
GA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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