Individual
TONYA R SELFRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NNP-BC
Contact information
Practice address
1711 TULLIE CIR NE, ATLANTA, GA 30329-2305
(404) 785-7283
(404) 785-6233
Mailing address
1711 TULLIE CIR NE, ATLANTA, GA 30329-2305
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN134676
GA
Other
Enumeration date
07/29/2014
Last updated
11/07/2014
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