Individual
MRS. ANNA T DERISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, WHNP
Contact information
Practice address
77 COLLIER RD NW, SUITE 2050, ATLANTA, GA 30309-1764
(404) 351-1002
Mailing address
3102 PEACHTREE DR NE, ATLANTA, GA 30305-2752
(404) 869-3224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN146512 NP
GA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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