Individual
MARLENE A ANDERSON-REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 450-0080
Mailing address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 450-0080
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN178688
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN178688
LICENSE
GA
Enumeration date
11/16/2012
Last updated
01/17/2019
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