Individual
MRS. ANALVIS CUESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
4586 TIMBER RIDGE DR STE 200, DOUGLASVILLE, GA 30135-7514
(786) 443-7926
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(770) 942-0457
(770) 942-7699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN218491
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003228422A
—
GA
05
—
003228422B
—
GA
01
—
G18815A
MEDICARE PTAN
GA
Enumeration date
03/24/2019
Last updated
12/07/2020
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