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Individual

ERICA BROOKE D'AGOSTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3899
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN286544
GA
363L00000X
Nurse Practitioner
Primary
RN286544
GA
363LA2100X
Acute Care Nurse Practitioner
RN286544
GA

Other

Enumeration date
03/11/2022
Last updated
07/16/2024
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