Individual
MARETT ANNE PANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
200 S ENOTA DR NE STE 200, GAINESVILLE, GA 30501-3466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN254928
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN254928
GA
363LG0600X
Gerontology Nurse Practitioner
RN254928
GA
Other
Enumeration date
03/13/2019
Last updated
11/30/2022
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