Individual
ISABELA CASTRO SUCRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4789 KARLS GATE DR, MARIETTA, GA 30068-1624
(610) 705-2390
Mailing address
4789 KARLS GATE DR, MARIETTA, GA 30068-1624
(610) 705-2390
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN309054
GA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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