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NATACHA ETIENNE MPILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3905 BROOKSIDE PKWY STE 300, ALPHARETTA, GA 30022-4458
(770) 442-1911
Mailing address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 904-4742
(678) 971-6065

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN175038
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN175038
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2019074541
ANCC CERTIFICATION
GA
01
RN175038
STATE LICENSE
GA
Enumeration date
10/30/2017
Last updated
04/07/2025
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