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Individual

CAROLINE WAITHAKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
731 SWEET ASHLEY WAY, LOGANVILLE, GA 30052-7953
(678) 502-8502
Mailing address
731 SWEET ASHLEY WAY, LOGANVILLE, GA 30052-7953
(678) 502-8502

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN240058
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN240058
GA

Other

Enumeration date
06/06/2016
Last updated
02/14/2024
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