Individual
NINA ROWE STEFANIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1400 RIVER PL, BRASELTON, GA 30517-5600
(770) 534-2020
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN149037
GA
363LF0000X
Family Nurse Practitioner
149037
GA
Other
Enumeration date
01/25/2022
Last updated
02/08/2023
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