Individual
MICHELLE MARIE LADEWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
667 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(770) 532-7501
(770) 536-3031
Mailing address
667 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(770) 532-7501
(770) 532-8322
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN170012
GA
Other
Enumeration date
06/06/2016
Last updated
10/09/2025
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