Individual
ANGELA LAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, ANP
Contact information
Practice address
668 LANIER PARK DR, GAINESVILLE, GA 30501-2061
(770) 219-9530
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-9530
(770) 538-0517
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
170048
GA
Other
Enumeration date
05/15/2016
Last updated
06/21/2016
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