Individual
MS. ELLEN DEGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
3400-C OLD MILTON PARKWAY, ALPHARETTA, GA 30004
(770) 751-0800
Mailing address
130 TERRACE GLEN CIR, ALPHARETTA, GA 30004-8206
(678) 566-0552
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN111248
NY
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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