Individual
MRS. ELSA MEKONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
101 WOODRUFF CIRCLE ROOM 2121, ATLANTA, GA 30322-0001
(703) 965-2340
Mailing address
935 FOX MEADOW LN, LAWRENCEVILLE, GA 30043-6381
(703) 965-2340
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN237251
GA
363LA2200X
Adult Health Nurse Practitioner
RN237251
GA
363LG0600X
Gerontology Nurse Practitioner
RN237251
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN237251
GA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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