Individual
FIONA VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
3496 CLUB DR, LAWRENCEVILLE, GA 30044-3021
(770) 248-9345
Mailing address
3620 AUTUMN RIDGE PKWY, MARIETTA, GA 30066-2868
(678) 650-6306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN276073
GA
363LF0000X
Family Nurse Practitioner
Primary
RN276073
GA
Other
Enumeration date
09/13/2022
Last updated
10/04/2022
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