Individual
MS. NYLA A LOTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
222 COOPER LAKE RD SE, MABLETON, GA 30126-1922
(404) 775-7452
Mailing address
6 SOUTH EVERETT ST, VALLEY STREAM, NY 11580
(516) 285-0122
(516) 285-0499
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN101173
GA
Other
Enumeration date
06/03/2010
Last updated
03/22/2025
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