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Individual

NICOLE TRYFUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
4265 JOHNS CREEK PKWY STE B, JOHNS CREEK, GA 30024-6038
(770) 462-0910
Mailing address
5345 GLENN IVEY DR, CUMMING, GA 30028-3359

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
332562
NY
164W00000X
Licensed Practical Nurse
Primary
LPN102782
GA

Other

Enumeration date
02/12/2026
Last updated
02/12/2026
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