Individual
ELSIE-SOLANGE MVOUENG NKOI-MIMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 RIVER PL, BRASELTON, GA 30517-5600
(770) 848-8000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN231843
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN231843
GA
Other
Enumeration date
11/11/2019
Last updated
12/16/2021
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