Individual
KARLA VANESSA MIRALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
687 JOHNSON FERRY RD, MARIETTA, GA 30068-4628
(770) 977-9220
Mailing address
687 JOHNSON FERRY RD, MARIETTA, GA 30068-6146
(770) 977-9220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN170709
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28643137AB
—
GA
Enumeration date
10/09/2005
Last updated
07/21/2022
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