Individual
BRENDA DIGIACOMO
Active
Individual
BRENDA DIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN138898
GA
363LF0000X
Family Nurse Practitioner
Primary
138898
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003146982C
—
GA
Enumeration date
11/02/2013
Last updated
01/25/2017
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