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Individual

LAURA ELLEN PRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, NP

Contact information

Practice address
2001 PEACHTREE RD NE STE 575, ATLANTA, GA 30309-1476
(404) 350-0106
(404) 350-0176
Mailing address
2001 PEACHTREE RD NE STE 575, ATLANTA, GA 30309-1476
(404) 350-0106
(404) 350-0176

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN122652
GA
363LA2200X
Adult Health Nurse Practitioner
RN122652
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00242555
RAILROAD MEDICARE
Enumeration date
06/22/2005
Last updated
12/14/2017
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