Individual
IWALANI REISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 UPPER RIVERDALE ROAD, RIVERDALE, GA 30274
(770) 991-8000
Mailing address
2945 CUMBERLAND MALL SE APT 3030, ATLANTA, GA 30339-5189
(678) 362-8085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
279764
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
04/21/2026
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