Individual
CARLA DANIELA PENAHERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1611
(404) 303-3929
Mailing address
6900 ROSWELL RD APT I1, ATLANTA, GA 30328-2213
(678) 677-9816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10230045
GA
Other
Enumeration date
10/03/2023
Last updated
10/04/2023
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