Individual
ANSLIE PRUDHOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4364 BURNLEIGH CHASE NE, ROSWELL, GA 30075-1956
(904) 545-0747
Mailing address
4364 BURNLEIGH CHASE NE, ROSWELL, GA 30075-1956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN273932
GA
Other
Enumeration date
06/04/2018
Last updated
10/09/2025
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