Organization
UNITED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN NURSE APRN (FAMILY NURSE PRACTITIONER)
(404) 846-7500
Entity
Organization
Contact information
Practice address
3820 BRIARCLIFF RD NE, ATLANTA, GA 30345-3857
(404) 213-7548
Mailing address
3820 BRIARCLIFF RD NE, ATLANTA, GA 30345-3857
(404) 213-7548
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
363L00000X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN127882
APRN
GA
Enumeration date
11/11/2015
Last updated
11/11/2015
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