Individual
ANDREA NIMENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
126 ENTERPRISE PATH, HIRAM, GA 30141-2656
(678) 567-0920
Mailing address
126 ENTERPRISE PATH, HIRAM, GA 30141-2656
(678) 567-0920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
174556
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN174556
GA
Other
Enumeration date
07/28/2016
Last updated
05/24/2021
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