Individual
LISA ANN DANYLUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ACNP-BC
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-5311
Mailing address
209 WINTERSWEET WAY, SHARPSBURG, GA 30277-4678
(678) 612-6361
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN184841
GA
Other
Enumeration date
11/27/2010
Last updated
12/20/2011
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