Individual
HARRIET KISUVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 608-5075
Mailing address
711 BAYLISS DR, MARIETTA, GA 30068-4767
(770) 608-5075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217647
GA
Other
Enumeration date
11/11/2015
Last updated
01/17/2023
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