Individual
MRS. FERNANDA RENEE CROSBY-MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
310 KENNESTONE HOSPITAL BLVD, MARIETTA, GA 30060-1120
(770) 793-7899
(770) 793-7856
Mailing address
310 KENNESTONE HOSPITAL BLVD, MARIETTA, GA 30060-1120
(770) 793-7899
(770) 793-7856
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN196152
GA
364SA2100X
Acute Care Clinical Nurse Specialist
RN196152
GA
Other
Enumeration date
06/30/2017
Last updated
08/19/2022
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