Individual
KADIA D PROSPERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 870-1775
(614) 968-8840
Mailing address
546 SARABROOK PL, SANDY SPRINGS, GA 30342-5046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN223886
GA
Other
Enumeration date
07/02/2018
Last updated
09/05/2024
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