Individual
IRATI RODRIGUEZ MATESANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Contact information
Practice address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(400) 600-7000
Mailing address
247 PRESCOTT CT, NEWNAN, GA 30265-6021
(678) 416-8177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN302167
GA
363L00000X
Nurse Practitioner
Primary
RN302167
GA
Other
Enumeration date
02/20/2023
Last updated
10/17/2023
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