Individual
KAYLA LANDAVERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 HIGHLAND PKWY STE 201, ELLIJAY, GA 30540-7658
(678) 513-2273
(678) 513-8869
Mailing address
3970 DEP BILL CANTRELL MEMORIAL RD, CUMMING, GA 30040-3011
(678) 513-2273
(678) 513-8869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN296397
GA
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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