Xaviera Leak NP-C

NPI 1346580289 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1346580289
Gender Female
Enumeration Date 02/28/2013
Last Updated 07/08/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
600 PARKWAY N
NEWNAN GA, 30265-8000, US
Phone (800) 615-3055
Fax
Business Location
600 PARKWAY N
NEWNAN GA, 30265-8000, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN195450
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According to our database, Xaviera Leak NP-C NPI is 1346580289, taxonomy code is 363LF0000X and license number is RN195450, license state is located at Georgia. Xaviera Leak NP-C physically located at 600 Parkway N, Newnan GA, 30265-8000. NPI Number Xaviera Leak NP-C has the Individual type.

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1346580289 NPI number is provided on an as is basis without warranty of any kind. 1346580289 is maintained by the National Plan & Provider Enumeration System. The contents of Xaviera Leak NP-C are for informational purposes only.