Individual
MARISA FARGNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WHITCHER ST NE, SUITE 160, MARIETTA, GA 30060-1155
(770) 422-1372
Mailing address
760 WICKERBERRY KNLS, ROSWELL, GA 30075-4230
(678) 787-6295
(678) 787-7744
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
188848
GA
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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