Individual
MS. MARIAN VANITA LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5195 JIMMY CARTER BLVD, NORCROSS, GA 30093-1649
(470) 514-5818
Mailing address
583 SUMMERFIELD RD, SANTA ROSA, CA 95405-5239
(707) 539-1544
(707) 539-0686
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APN001112
NV
367A00000X
Advanced Practice Midwife
APN001112
NV
367A00000X
Advanced Practice Midwife
Primary
RN282818
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11982826
CAQH
—
05
—
NMW012750
—
CA
Enumeration date
07/19/2007
Last updated
06/02/2021
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