Individual
OLGA MATIPE NEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4835 SUGARLOAF PKWY STE 200, LAWRENCEVILLE, GA 30044-6916
(470) 375-5940
(180) 051-3443
Mailing address
2575 CASTLEROCK CT, CUMMING, GA 30041-6235
(470) 281-5831
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RNRN265031
GA
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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