Individual
MS. MIA COTRONEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5901 PEACHTREE DUNWOODY RD NE, SUITE B 420, ATLANTA, GA 30328-5382
(404) 252-9751
(678) 990-5763
Mailing address
5901 PEACHTREE DUNWOODY RD NE, SUITE B 420, ATLANTA, GA 30328-5382
(404) 252-9751
(678) 990-5763
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN080800
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000752287D
—
GA
05
—
000752287J
—
GA
05
—
000752287M
—
GA
Enumeration date
07/15/2005
Last updated
04/19/2011
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