Individual
MS. AMANDA BRANTLEY BATLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3284 WILTSHIRE DR, AVONDALE ESTATES, GA 30002-1638
(678) 793-0542
Mailing address
3284 WILTSHIRE DR, AVONDALE ESTATES, GA 30002-1638
(678) 793-0542
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN214358
GA
Other
Enumeration date
12/21/2011
Last updated
10/01/2014
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