Individual
ISABELLA IWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
485 S PERRY ST STE A-2, LAWRENCEVILLE, GA 30046-4923
(678) 215-9217
Mailing address
1104 BENTLEY ESTATES DR, DACULA, GA 30019-7836
(678) 215-9217
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN211826
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023102222
GA
Other
Enumeration date
06/12/2023
Last updated
06/07/2025
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