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Individual

MRS. ANNA NARIE SIMICA-FAZENDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,MSN, FNP-C

Contact information

Practice address
347 MIDDLE RD N UNIT H, LEESBURG, GA 31763-3766
(229) 272-8648
Mailing address
PO BOX 604, LEESBURG, GA 31763
(229) 272-8648

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F2014185
GA

Other

Enumeration date
02/18/2014
Last updated
02/18/2014
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