Individual
MIRA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
1825 ROCKBRIDGE RD STE 15B, STONE MOUNTAIN, GA 30087-3306
(470) 444-3134
(470) 276-4370
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN309281
GA
363LG0600X
Gerontology Nurse Practitioner
0001299163
VA
363LG0600X
Gerontology Nurse Practitioner
13875
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
277.002161
IL
363LG0600X
Gerontology Nurse Practitioner
APRN03074
RI
Other
Enumeration date
02/03/2015
Last updated
06/06/2025
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