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NADINE ANDERSON-GREENLAND NP-C, PMHNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1265805709
Individual Registrant: NADINE ANDERSON-GREENLAND NP-C, PMHNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
879 BRAMBLE WAY GRAYSON, GA 30017-4282 US
Tel: 404-729-9859 Fax: --
Tel: 404-729-9859 Fax: --
Contact information for business:
2801 DEKALB MEDICAL PKWY LITHONIA, GA 30058-4996 US
Tel: 404-501-8000 Fax: --
Tel: 404-501-8000 Fax: --
Registration Information:
NPI: 1265805709
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN168657 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
