Individual
MRS. DANIELLE TEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1117 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 224-1976
(478) 224-1996
Mailing address
1117 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 224-1976
(478) 224-1996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN164016
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN164016
STATE LICENSE NUMBER
GA
Enumeration date
05/30/2019
Last updated
11/27/2023
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