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Individual

NOUSHIN VASTANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
990 PEACHTREE INDUSTRIAL BLVD UNIT 482, SUWANEE, GA 30024-5204
(678) 908-1149
(949) 695-4856
Mailing address
5925 CAVEAT CT, SUWANEE, GA 30024-4415
(678) 908-1149

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN202976
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN202976
GA

Other

Enumeration date
11/04/2018
Last updated
10/14/2025
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