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ALEXIS VANBASTELAER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
2324 LIMESTONE OVERLOOK, GAINESVILLE, GA 30501-7443
(770) 536-8109
Mailing address
2324 LIMESTONE OVERLOOK, GAINESVILLE, GA 30501-7443

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN283734
GA

Other

Enumeration date
03/06/2023
Last updated
10/18/2023
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