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Individual

MARIE NAKANDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM, WHNP-BC

Contact information

Practice address
6095 PROFESSIONAL PKWY STE A210, DOUGLASVILLE, GA 30134-5611
(770) 949-4188
Mailing address
460 NASH CIR SW, MABLETON, GA 30126-5133
(678) 464-0722

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
AP127872
TX
367A00000X
Advanced Practice Midwife
AP127872
TX
367A00000X
Advanced Practice Midwife
Primary
RN192379
GA

Other

Enumeration date
06/05/2015
Last updated
05/05/2020
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