Individual
MRS. FERNANDA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
55 WHITCHER ST NE, MARIETTA, GA 30060-1155
(770) 428-0462
(770) 427-8001
Mailing address
55 WHITCHER ST NE, MARIETTA, GA 30060-1155
(770) 428-0462
(770) 427-8001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
208111
GA
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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