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Individual

REBECCA PIHERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
315 W PONCE DE LEON AVE STE 546, DECATUR, GA 30030-2448
(404) 997-8043
(949) 757-8783
Mailing address
315 W PONCE DE LEON AVE STE 546, DECATUR, GA 30030-2448
(404) 997-8043
(949) 757-8783

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN167855
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003204501A
GA
Enumeration date
09/19/2014
Last updated
06/29/2024
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