Individual
ISABEL ANNALY CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 ATLANTA HWY, GAINESVILLE, GA 30504-5948
(440) 534-0670
Mailing address
1870 ATLANTA HWY, GAINESVILLE, GA 30504-5948
(770) 534-0670
(770) 534-0690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06221090
GA
Other
Enumeration date
05/26/2022
Last updated
10/12/2022
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