ANGELA LYNN WITTENAUER FNP-C NPI 1073016192

NPI Information

Angela Lynn Wittenauer, FNP-C is a family nurse practitioner in Decatur, GA with 7 years of experience. Angela Lynn Wittenauer, FNP-C NPI is 1073016192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

3155 REHOBOTH DR
DECATUR, GA
ZIP 30033-338
Phone: (404) 550-0807

The NPI 1073016192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/15/2018 and was last updated on 3/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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